Research progress on treatment of unstable intertrochanteric fractures in elderly patients with bone cement type femoral head replacement_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZHANG Shixiong ^1,2,3 , MA Jianxiong ^1,2,3 , LU Bin ^1,2,3 ,  MA Xinlong ^1,2,3

1. Tianjin University Tianjin Hospital (Tianjin Hospital), Tianjin, 300211, P. R. China;
2. Tianjin Institute of Orthopedics, Tianjin, 300050, P. R. China;
3. Tianjin Key Laboratory of Orthopedic Biomechanics and Medical Engineering, Tianjin, 300050, P. R. China;

Corresponding?author：

MA Xinlong, Email: maxinlong8686@sina.com

Keywords：

Intertrochanteric fracture; unstable fracture; bone cement type prosthesis; femoral head replacement; the elderly

DOI：

10.7507/1002-1892.202402067

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To summarize the latest research progress of bone cement type femoral head replacement in the treatment of unstable intertrochanteric fractures in elderly patients. Methods The literature on the application of bone cement type femoral head replacement for unstable intertrochanteric fractures in elderly patients both domestically and internationally was reviewed, and the findings in aspects of selection of prosthesis types, proximal femoral reconstruction methods, postoperative complications, and rehabilitation were summarized and analyzed. Results The bone cement type femoral head replacement has shown significant effectiveness in the treatment of unstable intertrochanteric fractures in elderly patients. The surgery provides immediate stability, allowing patients to quickly bear weight and regain walking function, thereby reducing the incidences of postoperative complications and mortality. However, due to the generally poor physical condition and low surgical tolerance of elderly patients, the risk of postoperative complications significantly increases, which has a significant impact on patients’ postoperative recovery. Common complications include deep vein thrombosis, bone cement implantation syndrome, joint dislocation, prosthesis loosening, and periprosthetic fractures. Therefore, despite the apparent short-term effectiveness of the surgery, it is crucial to emphasize the prevention and management of postoperative complications to improve the long-term prognosis of elderly patients. Conclusion For unstable intertrochanteric fractures in elderly patients, when choosing bone cement type femoral head replacement, it is necessary to strictly adhere to surgical indications, reduce the occurrence of complications, and improve the patients’ quality of life through refined preoperative evaluation, intraoperative operation, and effective postoperative management.

Citation： ZHANG Shixiong, MA Jianxiong, LU Bin, MA Xinlong. Research progress on treatment of unstable intertrochanteric fractures in elderly patients with bone cement type femoral head replacement. Chinese Journal of Reparative and Reconstructive Surgery, 2024, 38(9): 1143-1148. doi: 10.7507/1002-1892.202402067 Copy

1.	李寧, 李新萍, 楊明輝, 等. 老年髖部骨折的骨質疏松癥診療專家共識. 中華骨與關節外科雜志, 2021, 14(8): 657-663.
2.	Heiden JJ, Goodin SR, Mormino MA, et al. Early ambulation after hip fracture surgery is associated with decreased 30-day mortality. J Am Acad Orthop Surg, 2021, 29(5): e238-e242.
3.	趙曉濤, 張殿英, 郁凱, 等. 股骨近端防旋髓內釘固定治療股骨轉子間骨折的失效原因分析. 中華創傷骨科雜志, 2021, 23(3): 202-208.
4.	陸英超, 陳向陽, 袁斌. 兩種體位下股骨近端防旋髓內釘治療股骨轉子間骨折的療效比較. 臨床骨科雜志, 2023, 26(2): 255-259.
5.	Hongku N, Woratanarat P, Nitiwarangkul L, et al. Fracture fixation versus hemiarthroplasty for unstable intertrochanteric fractures in elderly patients: A systematic review and network meta-analysis of randomized controlled trials. Orthop Traumatol Surg Res, 2022, 108(1): 102838. doi: 10.1016/j.otsr.2021.102838.
6.	Chowdhury AK, Townsend O, Edwards MR. A comparison of hemiarthroplasty versus dynamic hip screw fixation for intertrochanteric femoral fractures: a systematic review. Hip Int, 2023, 33(4): 752-761.
7.	Tanzer M, Graves SE, Peng A, et al. Is cemented or cementless femoral stem fixation more durable in patients older than 75 years of age? A comparison of the best-performing stems. Clin Orthop Relat Res, 2018, 476(7): 1428-1437.
8.	Feyen H, Shimmin AJ. Is the length of the femoral component important in primary total hip replacement?. Bone Joint J, 2014, 96-B(4): 442-448.
9.	梁雨田, 唐佩福, 郭義柱, 等. 高齡患者非穩定性股骨粗隆間骨折人工股骨頭置換臨床研究. 中華醫學雜志, 2005, 85(46): 3260-3262.
10.	Liu SH, Liu WG, Yin QF, et al. Finite element analysis of cemented prostheses for hip replacement in elderly patients with comminuted intertrochanteric fracture. Ann Ital Chir, 2020, 91: 679-687.
11.	成世高, 王萬春, 蔣棟, 等. 標準柄與加長柄骨水泥型假體置換治療高齡轉子間骨折的比較. 中國組織工程研究, 2021, 25(3): 362-367.
12.	Shi T, Fang X, Huang C, et al. Conversion hip arthroplasty using standard and long stems after failed internal fixation of intertrochanteric fractures. Orthop Surg, 2023, 15(1): 124-132.
13.	Dung TT, Hieu ND, Son LM, et al. Primary cementless bipolar long stem hemiarthroplasty for unstable osteoporotic intertrochanteric fracture in the elderly patients. Open Access Maced J Med Sci, 2019, 7(24): 4342-4346.
14.	曹治東, 田開熙, 茍景躍, 等. 骨水泥加長柄人工股骨頭置換于高齡股骨粗隆間骨折的臨床應用. 創傷外科雜志, 2014, 16(6): 551, 560.
15.	Lee KH, Lee DH, Noh JH, et al. Is rigid fixation of the greater trochanter necessary for arthroplasty of intertrochanteric fractures? Orthop Traumatol Surg Res, 2019, 105(1): 41-45.
16.	Kim KC, Park HG, Park JW. The efficacy of suture fixation of the greater trochanter in unstable intertrochanteric fractures. Clin Orthop Surg, 2021, 13(4): 468-473.
17.	陳濤, 董盼鋒, 章曉云, 等. 非骨水泥股骨假體置換聯合術中股骨大轉子重建對不穩定股骨轉子間骨折的療效分析. 中國現代醫學雜志, 2022, 32(18): 70-76.
18.	趙忠全, 陳杰超, 李學福, 等. 加長型股骨柄半髖關節置換術治療股骨轉子間骨折股骨近端重建研究進展. 中國修復重建外科雜志, 2020, 34(4): 536-540.
19.	李青. 人工股骨頭置換術結合股骨距重建治療高齡不穩定性股骨轉子間骨折的臨床效果分析. 中國實用醫藥, 2022, 17(18): 24-28.
20.	王攀. 股骨距重建結合鎖定鋼板固定和股骨近端抗旋髓內釘治療老年轉子間骨折46例分析. 安徽醫藥, 2021, 25(4): 693-696.
21.	吳貴佑, 于前進, 朱紅偉, 等. 股骨頭置換與內固定治療高齡不穩定轉子間骨折的比較研究. 中國骨傷, 2021, 34(10): 895-900.
22.	Seker A, Baysal G, Bilsel N, et al. Should early weightbearing be allowed after intramedullary fixation of trochanteric femur fractures? A finite element study. J Orthop Sci, 2020, 25(1): 132-138.
23.	許曉沛, 呂欣. 內側壁破壞老年股骨轉子間骨折分型及恢復骨性支撐和骨皮質的連續性. 中國組織工程研究, 2021, 25(14): 2259-2265.
24.	Andriollo L, Sangaletti R, Are L, et al. Uncemented hemiarthroplasty may have a role in the treatment of unstable intertrochanteric fractures in elderly patient. A survival complications and functional outcomes analysis. Int J Burns Trauma, 2023, 13(3): 126-135.
25.	封海, 陳紀偉, 潘陽陽, 等. 人工股骨頭置換術與Gamma3型髓內釘內固定選擇性治療老年股骨粗隆間骨折的比較. 中國骨與關節損傷雜志, 2018, 33(12): 1240-1243.
26.	馬瑞, 葛瑩, 王坤正, 等. 小轉子重建人工股骨頭置換治療高齡Evans-Ⅲ型股骨轉子間骨折. 中國組織工程研究, 2024, 28(12): 1880-1884.
27.	Hantouly AT, Salameh M, Toubasi AA, et al. The role of cerclage wiring in the management of subtrochanteric and reverse oblique intertrochanteric fractures: a meta-analysis of comparative studies. Eur J Orthop Surg Traumatol, 2023, 33(4): 739-749.
28.	Karayiannis P, James A. The impact of cerclage cabling on unstable intertrochanteric and subtrochanteric femoral fractures: a retrospective review of 465 patients. Eur J Trauma Emerg Surg, 2020, 46(5): 969-975.
29.	Zhang H, Xu Z, Zhou A, et al. Efficacy of Kirschner-wires and tension band in hip arthroplasty for aged patients with unstable intertrochanteric osteoporotic fracture: A 2-to-11-year follow-up. Medicine (Baltimore), 2017, 96(1): e5614. doi: 10.1097/MD.0000000000005614.
30.	Tetreault AK, McGrory BJ. Use of locking plates for fixation of the greater trochanter in patients with hip replacement. Arthroplast Today, 2016, 2(4): 187-192.
31.	Huang G, Zhang M, Qu Z, et al. Fixation options for reconstruction of the greater trochanter in unstable intertrochanteric fracture with arthroplasty. Medicine (Baltimore), 2021, 100(26): e26395. doi: 10.1097/MD.0000000000026395.
32.	Schafer P, Sullivan TC, Lambert B, et al. Greater trochanteric fixation using cable plate devices in complex primary and revision total hip arthroplasty. Arthroplast Today, 2023, 20: 101103. doi: 10.1016/j.artd.2023.101103.
33.	Cui Q, Liu YS, Li DF, et al. Cemented hip hemiarthroplasty clinical observations on unstable intertrochanteric fracture in elderlies. Eur J Trauma Emerg Surg, 2016, 42(5): 651-656.
34.	Zhao K, Zhang J, Li J, et al. Incidence of and risk factors for new-onset deep venous thrombosis after intertrochanteric fracture surgery. Sci Rep, 2021, 11(1): 17319. doi: 10.1038/s41598-021-96937-w.
35.	Feng L, Xu L, Yuan W, et al. Preoperative anemia and total hospitalization time are the independent factors of preoperative deep venous thromboembolism in Chinese elderly undergoing hip surgery. BMC Anesthesiol, 2020, 20(1): 72. doi: 10.1186/s12871-020-00983-2.
36.	Wong DW, Lee QJ, Lo CK, et al. Incidence of venous thromboembolism after primary total hip arthroplasty with mechanical prophylaxis in Hong Kong Chinese. Hip Pelvis, 2024, 36(2): 108-119.
37.	Jo WL, Lee YK, Ha YC, et al. Preventing venous thromboembolism with use of intermittent pneumatic compression after total hip arthroplasty in Korean patients. J Korean Med Sci, 2016, 31(8): 1319-1323.
38.	CRISTAL Economic Analysis Study Group. Cost-effectiveness of enoxaparin versus aspirin in the prevention of venous thromboembolism after total hip or knee arthroplasty: an analysis from the CRISTAL cluster-randomized trial. Bone Joint J, 2024, 106-B(6): 589-595.
39.	Ferreira GE, Patanwala AE, Turton H, et al. How is postoperative pain after hip and knee replacement managed? An analysis of two large hospitals in Australia. Perioper Med (Lond), 2024, 13(1): 49. doi: 10.1186/s13741-024-00403-w.
40.	Li J, Zhang M, Yao J, et al. Risk factors for periprosthetic femoral fractures after cementless total hip arthroplasty. J Arthroplasty, 2024. doi: 10.1016/j.arth.2024.06.005.
41.	Layson JT, Hameed D, Dubin JA, et al. Patients with osteoporosis are at higher risk for periprosthetic femoral fractures and aseptic loosening following total hip arthroplasty. Orthop Clin North Am, 2024, 55(3): 311-321.
42.	Nantha Kumar N, Kunutsor SK, Fernandez MA, et al. Effectiveness and safety of cemented and uncemented hemiarthroplasty in the treatment of intracapsular hip fractures. Bone Joint J, 2020, 102-B(9): 1113-1121.
43.	Agarwal AR, Kinnard MJ, Murdock C, et al. The cost-effectiveness of osteoporosis medications for preventing periprosthetic fractures following femoral neck fracture indicated hip arthroplasty: a break-even analysis. Osteoporos Int, 2024, 35(7): 1223-1229.
44.	Lewis SR, Macey R, Parker MJ, et al. Arthroplasties for hip fracture in adults. Cochrane Database Syst Rev, 2022, 2(2): CD13410. doi: 10.1002/14651858.CD013410.pub2.
45.	Weing?rtner K, St?rmann P, Schramm D, et al. Bone cement implantation syndrome in cemented hip hemiarthroplasty—A persistent risk. Eur J Trauma Emerg Surg, 2022, 48(2): 721-729.
46.	Dahl OE, Pripp AH, Jaradeh M, et al. The bone cement hypercoagulation syndrome: pathophysiology, mortality, and prevention. Clin Appl Thromb Hemost, 2023, 29: 10760296231198036. doi: 10.1177/10760296231198036.
47.	Yoo JI, Cha YH, Kim KJ, et al. Comparison between cementless and cemented bipolar hemiarthroplasty for treatment of unstable intertrochanteric fractures: systematic review and meta-analysis. Hip Pelvis, 2018, 30(4): 241-253.
48.	Humez M, Fr?schen FS, Wirtz DC, et al. The third-generation modern cementing technique in hip and knee arthroplasty. Orthopadie (Heidelb), 2023, 52(12): 968-980.
49.	Elmenshawy AF, Salem KH. Cemented versus cementless bipolar hemiarthroplasty for femoral neck fractures in the elderly. EFORT Open Rev, 2021, 6(5): 380-386.
50.	Pfeufer D, Kammerlander C, Stadler C, et al. Multidisciplinary inpatient rehabilitation improves the long-term functional status of geriatric hip-fracture patients. Eur J Med Res, 2020, 25(1): 31. doi: 10.1186/s40001-020-00433-2.
51.	游世英, 楊伶俐, 熊雁, 等. 肌力訓練在預防髖部骨折關節置換術后脫位的作用及研究進展. 創傷外科雜志, 2023, 25(6): 471-475, 481.
52.	Sim SD, Sim YE, Tay K, et al. Preoperative hypoalbuminemia: Poor functional outcomes and quality of life after hip fracture surgery. Bone, 2021, 143: 115567. doi: 10.1016/j.bone.2020.115567.
53.	Takahashi K, Momosaki R, Yasufuku Y, et al. Nutritional therapy in older patients with hip fractures undergoing rehabilitation: a systematic review and meta-analysis. J Am Med Dir Assoc, 2020, 21(9): 1364. doi: 10.1016/j.jamda.2020.07.005.

1. 李寧, 李新萍, 楊明輝, 等. 老年髖部骨折的骨質疏松癥診療專家共識. 中華骨與關節外科雜志, 2021, 14(8): 657-663.
2. Heiden JJ, Goodin SR, Mormino MA, et al. Early ambulation after hip fracture surgery is associated with decreased 30-day mortality. J Am Acad Orthop Surg, 2021, 29(5): e238-e242.
3. 趙曉濤, 張殿英, 郁凱, 等. 股骨近端防旋髓內釘固定治療股骨轉子間骨折的失效原因分析. 中華創傷骨科雜志, 2021, 23(3): 202-208.
4. 陸英超, 陳向陽, 袁斌. 兩種體位下股骨近端防旋髓內釘治療股骨轉子間骨折的療效比較. 臨床骨科雜志, 2023, 26(2): 255-259.
5. Hongku N, Woratanarat P, Nitiwarangkul L, et al. Fracture fixation versus hemiarthroplasty for unstable intertrochanteric fractures in elderly patients: A systematic review and network meta-analysis of randomized controlled trials. Orthop Traumatol Surg Res, 2022, 108(1): 102838. doi: 10.1016/j.otsr.2021.102838.
6. Chowdhury AK, Townsend O, Edwards MR. A comparison of hemiarthroplasty versus dynamic hip screw fixation for intertrochanteric femoral fractures: a systematic review. Hip Int, 2023, 33(4): 752-761.
7. Tanzer M, Graves SE, Peng A, et al. Is cemented or cementless femoral stem fixation more durable in patients older than 75 years of age? A comparison of the best-performing stems. Clin Orthop Relat Res, 2018, 476(7): 1428-1437.
8. Feyen H, Shimmin AJ. Is the length of the femoral component important in primary total hip replacement?. Bone Joint J, 2014, 96-B(4): 442-448.
9. 梁雨田, 唐佩福, 郭義柱, 等. 高齡患者非穩定性股骨粗隆間骨折人工股骨頭置換臨床研究. 中華醫學雜志, 2005, 85(46): 3260-3262.
10. Liu SH, Liu WG, Yin QF, et al. Finite element analysis of cemented prostheses for hip replacement in elderly patients with comminuted intertrochanteric fracture. Ann Ital Chir, 2020, 91: 679-687.
11. 成世高, 王萬春, 蔣棟, 等. 標準柄與加長柄骨水泥型假體置換治療高齡轉子間骨折的比較. 中國組織工程研究, 2021, 25(3): 362-367.
12. Shi T, Fang X, Huang C, et al. Conversion hip arthroplasty using standard and long stems after failed internal fixation of intertrochanteric fractures. Orthop Surg, 2023, 15(1): 124-132.
13. Dung TT, Hieu ND, Son LM, et al. Primary cementless bipolar long stem hemiarthroplasty for unstable osteoporotic intertrochanteric fracture in the elderly patients. Open Access Maced J Med Sci, 2019, 7(24): 4342-4346.
14. 曹治東, 田開熙, 茍景躍, 等. 骨水泥加長柄人工股骨頭置換于高齡股骨粗隆間骨折的臨床應用. 創傷外科雜志, 2014, 16(6): 551, 560.
15. Lee KH, Lee DH, Noh JH, et al. Is rigid fixation of the greater trochanter necessary for arthroplasty of intertrochanteric fractures? Orthop Traumatol Surg Res, 2019, 105(1): 41-45.
16. Kim KC, Park HG, Park JW. The efficacy of suture fixation of the greater trochanter in unstable intertrochanteric fractures. Clin Orthop Surg, 2021, 13(4): 468-473.
17. 陳濤, 董盼鋒, 章曉云, 等. 非骨水泥股骨假體置換聯合術中股骨大轉子重建對不穩定股骨轉子間骨折的療效分析. 中國現代醫學雜志, 2022, 32(18): 70-76.
18. 趙忠全, 陳杰超, 李學福, 等. 加長型股骨柄半髖關節置換術治療股骨轉子間骨折股骨近端重建研究進展. 中國修復重建外科雜志, 2020, 34(4): 536-540.
19. 李青. 人工股骨頭置換術結合股骨距重建治療高齡不穩定性股骨轉子間骨折的臨床效果分析. 中國實用醫藥, 2022, 17(18): 24-28.
20. 王攀. 股骨距重建結合鎖定鋼板固定和股骨近端抗旋髓內釘治療老年轉子間骨折46例分析. 安徽醫藥, 2021, 25(4): 693-696.
21. 吳貴佑, 于前進, 朱紅偉, 等. 股骨頭置換與內固定治療高齡不穩定轉子間骨折的比較研究. 中國骨傷, 2021, 34(10): 895-900.
22. Seker A, Baysal G, Bilsel N, et al. Should early weightbearing be allowed after intramedullary fixation of trochanteric femur fractures? A finite element study. J Orthop Sci, 2020, 25(1): 132-138.
23. 許曉沛, 呂欣. 內側壁破壞老年股骨轉子間骨折分型及恢復骨性支撐和骨皮質的連續性. 中國組織工程研究, 2021, 25(14): 2259-2265.
24. Andriollo L, Sangaletti R, Are L, et al. Uncemented hemiarthroplasty may have a role in the treatment of unstable intertrochanteric fractures in elderly patient. A survival complications and functional outcomes analysis. Int J Burns Trauma, 2023, 13(3): 126-135.
25. 封海, 陳紀偉, 潘陽陽, 等. 人工股骨頭置換術與Gamma3型髓內釘內固定選擇性治療老年股骨粗隆間骨折的比較. 中國骨與關節損傷雜志, 2018, 33(12): 1240-1243.
26. 馬瑞, 葛瑩, 王坤正, 等. 小轉子重建人工股骨頭置換治療高齡Evans-Ⅲ型股骨轉子間骨折. 中國組織工程研究, 2024, 28(12): 1880-1884.
27. Hantouly AT, Salameh M, Toubasi AA, et al. The role of cerclage wiring in the management of subtrochanteric and reverse oblique intertrochanteric fractures: a meta-analysis of comparative studies. Eur J Orthop Surg Traumatol, 2023, 33(4): 739-749.
28. Karayiannis P, James A. The impact of cerclage cabling on unstable intertrochanteric and subtrochanteric femoral fractures: a retrospective review of 465 patients. Eur J Trauma Emerg Surg, 2020, 46(5): 969-975.
29. Zhang H, Xu Z, Zhou A, et al. Efficacy of Kirschner-wires and tension band in hip arthroplasty for aged patients with unstable intertrochanteric osteoporotic fracture: A 2-to-11-year follow-up. Medicine (Baltimore), 2017, 96(1): e5614. doi: 10.1097/MD.0000000000005614.
30. Tetreault AK, McGrory BJ. Use of locking plates for fixation of the greater trochanter in patients with hip replacement. Arthroplast Today, 2016, 2(4): 187-192.
31. Huang G, Zhang M, Qu Z, et al. Fixation options for reconstruction of the greater trochanter in unstable intertrochanteric fracture with arthroplasty. Medicine (Baltimore), 2021, 100(26): e26395. doi: 10.1097/MD.0000000000026395.
32. Schafer P, Sullivan TC, Lambert B, et al. Greater trochanteric fixation using cable plate devices in complex primary and revision total hip arthroplasty. Arthroplast Today, 2023, 20: 101103. doi: 10.1016/j.artd.2023.101103.
33. Cui Q, Liu YS, Li DF, et al. Cemented hip hemiarthroplasty clinical observations on unstable intertrochanteric fracture in elderlies. Eur J Trauma Emerg Surg, 2016, 42(5): 651-656.
34. Zhao K, Zhang J, Li J, et al. Incidence of and risk factors for new-onset deep venous thrombosis after intertrochanteric fracture surgery. Sci Rep, 2021, 11(1): 17319. doi: 10.1038/s41598-021-96937-w.
35. Feng L, Xu L, Yuan W, et al. Preoperative anemia and total hospitalization time are the independent factors of preoperative deep venous thromboembolism in Chinese elderly undergoing hip surgery. BMC Anesthesiol, 2020, 20(1): 72. doi: 10.1186/s12871-020-00983-2.
36. Wong DW, Lee QJ, Lo CK, et al. Incidence of venous thromboembolism after primary total hip arthroplasty with mechanical prophylaxis in Hong Kong Chinese. Hip Pelvis, 2024, 36(2): 108-119.
37. Jo WL, Lee YK, Ha YC, et al. Preventing venous thromboembolism with use of intermittent pneumatic compression after total hip arthroplasty in Korean patients. J Korean Med Sci, 2016, 31(8): 1319-1323.
38. CRISTAL Economic Analysis Study Group. Cost-effectiveness of enoxaparin versus aspirin in the prevention of venous thromboembolism after total hip or knee arthroplasty: an analysis from the CRISTAL cluster-randomized trial. Bone Joint J, 2024, 106-B(6): 589-595.
39. Ferreira GE, Patanwala AE, Turton H, et al. How is postoperative pain after hip and knee replacement managed? An analysis of two large hospitals in Australia. Perioper Med (Lond), 2024, 13(1): 49. doi: 10.1186/s13741-024-00403-w.
40. Li J, Zhang M, Yao J, et al. Risk factors for periprosthetic femoral fractures after cementless total hip arthroplasty. J Arthroplasty, 2024. doi: 10.1016/j.arth.2024.06.005.
41. Layson JT, Hameed D, Dubin JA, et al. Patients with osteoporosis are at higher risk for periprosthetic femoral fractures and aseptic loosening following total hip arthroplasty. Orthop Clin North Am, 2024, 55(3): 311-321.
42. Nantha Kumar N, Kunutsor SK, Fernandez MA, et al. Effectiveness and safety of cemented and uncemented hemiarthroplasty in the treatment of intracapsular hip fractures. Bone Joint J, 2020, 102-B(9): 1113-1121.
43. Agarwal AR, Kinnard MJ, Murdock C, et al. The cost-effectiveness of osteoporosis medications for preventing periprosthetic fractures following femoral neck fracture indicated hip arthroplasty: a break-even analysis. Osteoporos Int, 2024, 35(7): 1223-1229.
44. Lewis SR, Macey R, Parker MJ, et al. Arthroplasties for hip fracture in adults. Cochrane Database Syst Rev, 2022, 2(2): CD13410. doi: 10.1002/14651858.CD013410.pub2.
45. Weing?rtner K, St?rmann P, Schramm D, et al. Bone cement implantation syndrome in cemented hip hemiarthroplasty—A persistent risk. Eur J Trauma Emerg Surg, 2022, 48(2): 721-729.
46. Dahl OE, Pripp AH, Jaradeh M, et al. The bone cement hypercoagulation syndrome: pathophysiology, mortality, and prevention. Clin Appl Thromb Hemost, 2023, 29: 10760296231198036. doi: 10.1177/10760296231198036.
47. Yoo JI, Cha YH, Kim KJ, et al. Comparison between cementless and cemented bipolar hemiarthroplasty for treatment of unstable intertrochanteric fractures: systematic review and meta-analysis. Hip Pelvis, 2018, 30(4): 241-253.
48. Humez M, Fr?schen FS, Wirtz DC, et al. The third-generation modern cementing technique in hip and knee arthroplasty. Orthopadie (Heidelb), 2023, 52(12): 968-980.
49. Elmenshawy AF, Salem KH. Cemented versus cementless bipolar hemiarthroplasty for femoral neck fractures in the elderly. EFORT Open Rev, 2021, 6(5): 380-386.
50. Pfeufer D, Kammerlander C, Stadler C, et al. Multidisciplinary inpatient rehabilitation improves the long-term functional status of geriatric hip-fracture patients. Eur J Med Res, 2020, 25(1): 31. doi: 10.1186/s40001-020-00433-2.
51. 游世英, 楊伶俐, 熊雁, 等. 肌力訓練在預防髖部骨折關節置換術后脫位的作用及研究進展. 創傷外科雜志, 2023, 25(6): 471-475, 481.
52. Sim SD, Sim YE, Tay K, et al. Preoperative hypoalbuminemia: Poor functional outcomes and quality of life after hip fracture surgery. Bone, 2021, 143: 115567. doi: 10.1016/j.bone.2020.115567.
53. Takahashi K, Momosaki R, Yasufuku Y, et al. Nutritional therapy in older patients with hip fractures undergoing rehabilitation: a systematic review and meta-analysis. J Am Med Dir Assoc, 2020, 21(9): 1364. doi: 10.1016/j.jamda.2020.07.005.

Chinese Journal of Reparative and Reconstructive Surgery

Research progress on treatment of unstable intertrochanteric fractures in elderly patients with bone cement type femoral head replacement

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content