老年股骨转子间骨折人工股骨头置换术的临床结局分析

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Abstract Objective To evaluate functional recovery and mortality through one year follow-up after surgery of intertrochanteric fracture by PFNA osteosynthesis and hip hemiarthroplasty.Methods A total of 163 consecutive patients(74 males and 89 females，average age 78.20±10.71 years) with intertrochanteric fractures were divided into osteosynthesis group and arthroplasty groups according to treatment techniques.We evaluated patient mortality and functional status according to Functional Independence Measure(FIM) scores.FIM were assessed atdischarge from the hospitaland one year after surgeries.Results Inthe follow-up1 year after surgery，50 patients had died (30.67%).22 patientswere from the arthroplasty group and 28 from osteosynthesis group (P＞0.05).The arthroplasty group had significantly higher FIM when they discharged from the hospital (80.07±11.34) and one year after surgery (97.34±9.78，P＜0.05).Patient age，time to surgery，and transfusion volumewere detected as significant related factors of FIM.Conclusion Functional loss resulted from intertrochanteric fractures can be reduced by arthroplasty instead of osteosynthesis.No significant differencein mortality through one year of follow-up was observed between arthroplasty and osteosynthesis surgeries.

Key words： hip fractures geriatric orthopaedics arthroplasty fracture fixation functional independence measure

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