Curative effect of artificial femoral head replacement and its effect on hip joint function and complications of senile patients with femoral intertrochanteric fracture

Shi, Haiwei; Xiao, Long; Wang, Zhifang

doi:10.3892/etm.2018.6214

Cited by 9 publications

(12 citation statements)

References 20 publications

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“…(4) High-concentration oxygen supply for anaesthetic mask was conducted before implantation of bone cement in the surgery to increase oxygen pressure, and enhancing patients' surgical tolerance. (5) The body temperature of the patients were monitored in the surgery, and the upper bodies for these patients were covered with inflatable warm-braw heat preservation carpet for keeping warmth. (6) The patients were asked whether there was discomfort when bone cement was used, including dyspnea, chest pain, panic.…”

Section: Intervention Groupmentioning

confidence: 99%

“…Previous study reported that the incidence of cardiac arrest caused by bone cement implant syndrome was 0.6%-10%, and the mortality was 0.02-0.5% [8]. Predictive nursing is to correctly evaluate the risk of complications, implement targeted nursing, change the previous passive nursing mode, minimize the incidence of complications and improve the prognosis [5,9]. It is of great significance to carry out predictive nursing mode in artificial cemented hemiarthroplasty.…”

Section: The Significance Of Implementing Predictive Nursing Interventionmentioning

confidence: 99%

“…The tolerance to anesthesia and surgery can decrease for the aged patients with hypofunction of various organs with growth of age, and the ability of regulating the blood circulation system can decrease for most of patients with hypertension, coronary heart disease, furthermore the patients with severe diseases will die [4]. As for most of the aged patients who come with thighbone marrow cavity with severely bad bone nature, bone cement prosthesis are adopted mostly when artificial hemiarthroplasty is performed, which will increase the occurrence of BCIS in the surgery, threatening the patients' life safety [5,6]. Therefore, it is of important significance for prevention to perform predictive nursing intervention in the surgery [7].…”

Section: Introductionmentioning

confidence: 99%

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Effect of Predictive Nursing on Preventing from Bone Cement Implantation Syndrome in Hemiarthroplasty

Li¹,

Ou²,

Ma³

et al. 2020

AJNS

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This study is to explore the effect of predictive nursing mode on preventing from bone cement implantation syndrome in hemiarthroplasty. 55 patients who were performed with bone cement hemiarthroplasty in our hospital from January 2018 to December 2018 were selected. These patients were divided into conventional group (n=25) and predictive nursing mode group (n=30) according to nursing modes. Then the systolic pressure (SBP), diastolic blood pressure (DBP), heart rate (HR) and oxyhemoglobin saturation (SpO 2 ) of the two groups of patients were compared 10min before injection of bone cement (T1), at the time of implantation of bone cement (T2), and 10min after injection of bone cement respectively (T3). The occurrence situation of respiratory distress, arrhythmia, dizziness, chest distress, panic, nausea, vomiting and shock for the two groups of patients in the surgery were compared. There was no significant difference for the comparison of the data including age, cardiac function, etc. of the patients between the conventional group and predictive nursing mode group. However, SBP and DBP of the intervention group at the time of T1, T2 and T3 were higher than that of the conventional group (P<0.05). Additionally, HR and SpO 2 of the intervention group at the time of T1, T2 and T3 were higher than that of the conventional group (P<0.05). As for the comparison of the evaluation indexes of bone cement for the two groups of patients in the surgery, the occurrence situation of hypotension, hyoxemia and RDS for the intervention group were apparently lower than that for the conventional group (P<0.05). As for the comparison of the intraoperative discomfort for the two groups of patients, the occurrence situation of dizziness, chest distress, panic, vomiting, nausea and shock of the intervention group were lower than that of the conventional group. The predictive nursing mode can be used for early intervention so as to relieve and avoid the occurrence of bone cement implantation syndrome in hemiarthroplasty, therefore it is worthy of being promoted for application. Suspected BCIS should be treated with aggressive resuscitation and supportive care. Prevention of BCIS includes identification of high-risk patients, preoperatively optimizing patient risk factors and comorbidities, and good communication with the surgical team.

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Section: Intervention Groupmentioning

confidence: 99%

Section: The Significance Of Implementing Predictive Nursing Interventionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of Predictive Nursing on Preventing from Bone Cement Implantation Syndrome in Hemiarthroplasty

Li¹,

Ou²,

Ma³

et al. 2020

AJNS

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“…As a result of gypsum fixation is easy to cause pulmonary infection, venous thrombosis, malnutrition, bedsore, urinary system infection, joint stiffness, and other complications, so choose a surgical remedy is the optimal therapeutic regimen. PFNA, DHS, PFN, Intertan, and Gamma are the most common fixation methods for unstable intertrochanteric fractures [ 6 , 7 ]. Among them, PFNA has the advantages of small incision, less bleeding, and firm fixation, but the operation of PFNA is highly required of skill [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Surgical Selection of Unstable Intertrochanteric Fractures: PFNA Combined with or without Cerclage Cable

Huang

2021

BioMed Research International

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Due to the instability of unstable intertrochanteric fractures, the selection of a suitable internal fixation has always been a challenge for orthopedic surgeons. This study is aimed at comparing the clinical efficacy of PFNA combined with cerclage cable and without cerclage cable and finally recommend a stable internal fixation method to provide the basis for clinical therapy. From January 2014 to January 2018, we retrospectively analyzed all cases of unstable intertrochanteric fractures who received treatment in the Orthopedics Department of our hospital and finally screened 120 cases, 51 of whom were treated with cerclage cable, 69 without cerclage cable. The follow-up period was one year. HHS, BI, and RUSH scores were given within the specified time. We divided the patients into the PFNA+cable (PFNA combined with cerclage cable) group and the PFNA group. The time of fracture healing and weight-bearing in the PFNA+cable group was shorter than that in the PFNA group. With regard to HHS, BI, and RUSH, the PFNA+cable group was higher than the PFNA group at 1 month, 3 months, 6 months, and 12 months after operation. For HHS rating, the PFNA+cable group has a higher excellent rate than the PFNA group, which was 96.1% and 84.1%, respectively. All the results mentioned above were statistically significant. Compared with the group without cerclage cable, the application of cerclage cable can reduce the incidence of complications. From the comparison between the two groups, it can be seen that the surgical method of PFNA combined with cerclage cable can not only help to improve the stability of fracture reduction, shorten the time of fracture healing and postoperative weight-bearing, and significantly improve patients’ self-care ability but also reduce the incidence of postoperative complications. Therefore, we think PFNA combined with cerclage cable is a good choice.

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“…xation methods for unstable intertrochanteric fractures [6]- [7]. Among them, PFNA has advantages in that only a small incision is required, and it results in less bleeding and rm xation.…”

Section: Introductionmentioning

confidence: 99%

Surgical Selection of Unstable Intertrochanteric Fractures: Proximal Femoral Nail Antirotation Combined With or Without Cerclage Cable

Huang¹,

Wu²

2020

Preprint

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Background: Due to the instability of unstable intertrochanteric fractures, the selection of a suitable internal fixation remains challenging for orthopedic surgeons. This study aims to compare the clinical efficacy of proximal femoral nail antirotation (PFNA) combined with a cerclage cable and without a cerclage cable so as to recommend a stable internal fixation method.Methods: From January 2014 to January 2018, we retrospectively analyzed all unstable intertrochanteric fracture cases who received treatment in the Orthopedics Department of our hospital. One hundred and twenty cases were screened, of which 51 were treated with a cerclage cable, and 69 without a cerclage cable. The follow-up period was one year. Patients were divided into either the PFNA and cerclage cable group (PFNA+cable) or the PFNA only (PFNA) group. Results: The Harris hip score (HHS), Barthel Index (BI), and Radiographic Union Scale for Hip (RUSH) were evaluated.The fracture healing and weight-bearing time of the PFNA+cable group were shorter than the PFNA group. Regarding the HHS, BI, and RUSH, the PFNA+cable group was higher than the PFNA group at 1, 3, 6, and 12 months after the operation. For the HHS rating, the PFNA+cable group had a higher-excellent rate than the PFNA group, with 96.1% and 84.1%, respectively. All the results mentioned above were statistically significant. The application of a cerclage cable was found to reduce the incidence of complications.It was found that PFNA combined with a cerclage cable improved the stability of fracture reductions, shortened the fracture healing time and postoperative weight-bearing time, significantly improved patients’ ability to self-care, and reduced the incidence of postoperative complications. Conclusions: Therefore, we think PFNA combined with a cerclage cable is a good choice for patients with unstable intertrochanteric fractures.

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Curative effect of artificial femoral head replacement and its effect on hip joint function and complications of senile patients with femoral intertrochanteric fracture

Cited by 9 publications

References 20 publications

Effect of Predictive Nursing on Preventing from Bone Cement Implantation Syndrome in Hemiarthroplasty

Effect of Predictive Nursing on Preventing from Bone Cement Implantation Syndrome in Hemiarthroplasty

Surgical Selection of Unstable Intertrochanteric Fractures: PFNA Combined with or without Cerclage Cable

Surgical Selection of Unstable Intertrochanteric Fractures: Proximal Femoral Nail Antirotation Combined With or Without Cerclage Cable

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