ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ GÃY LIÊN MẤU CHUYỂN XƯƠNG ĐÙI Ở NGƯỜI CAO TUỔI BẰNG PHƯƠNG PHÁP THAY KHỚP HÁNG BÁN PHẦN TẠI BỆNH VIỆN ĐA KHOA TỈNH BẮC GIANG

Abstract

Introduction: An intertrochanteric femoral fracture is a fracture in region 3 of the upper head of the femur. Common in the elderly, women > men. Partial hip replacement for intertrochanteric in the elderly has become more widely applied in recent years. Because this method help the patients access early mobility and to limit the complications. Objective: Evaluate the result of partial hip replacement for intertrochanteric fracture in elder patients. Materials and Methods: Research method: descriptive study. 22 patients with intertrochanteric fractures underwent partial hip replacement at Bac Giang General Hospital from May 2021 to May 2022. Results: The average age is 86,5 ± 3,8 tuổi. female/male ratio is 2,67/1. Fracture by home accident: 20/22 (84%). Results when the patient is hospitalized: VAS pain scale: Average is 3.8 ± 1.15. Early wound healing: 100%. Volume of blood transfusion: Average was 425.4 ± 180 ml, 7/22 patients did not require blood transfusion (31.82%). No patient had a hip dislocation during their stay in the hospital. Long time results: Assessed according to the Harris scale. Good and very good: 21/22 patients (95,45%); Average: 1/22 patients (4,55%); Poor: 0%. Conclusion: Bipolar partial hip replacement is a good choice for elderly patients with osteoporosis and unstable intertrochanteric femoral fractures, helping patients with good pain relief, early rehabilitation time, convenient for treatment, care and improvement. patient's quality of life, avoiding complications due to prolonged bed rest such as ulcers, pneumonia, urinary tract infections... However, it is necessary to carefully assess the patient's condition and coordinate synchronously between surgeons, anesthesiologist, internal medicine physician, rehabilitation physician.