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Objective: hemiarthroplasty with cut reduction and internal fixation in the treatment of elderly unstable intertrochanteric fractures compared explore hemiarthroplasty indications and methods of treatment of senior citizens unstable intertrochanteric fractures . Methods: The study from the Affiliated Hospital of Shandong University of Traditional Chinese Medicine orthopedic ward were treated from February 2003 to June 2009 elderly unstable intertrochanteric fractures were elected to the interests of the standard 85 cases divided into cut reduction and internal fixation group ( 59 cases ) and artificial femoral head replacement group (26 cases ) groups, through chart review and postoperative follow - up , the two groups on age , the Evans classification preoperative , major diseases combined preoperative , operative time , blood loss, postoperative complications , length of hospital stay , time to ambulation , internal fixation or prosthetic loosening ( failure ) rate to come down to earth in January and six months , Harris score . Results : the hemiarthroplasty group Shimoji earlier , can significantly reduce the incidence of postoperative deep vein thrombosis , come down to earth in January troubles Harris scores in both the number and excellent rate superior to ORIF group , come down to earth for six months after Harris scores mean with open reduction and internal fixation group, no difference , but excellent rate of 92.3% was significantly better than the ORIF group . Conclusion: hemiarthroplasty can greatly reduce the time in bed , to reduce the incidence of complications of postoperative bed , suffering from hip can return to pre-injury levels in the short term , therefore hemiarthroplasty is the treatment of elderly unstable intertrochanteric the fracture reasonable choice.
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