The Clinical Efficacy Of Artificial Hip Replacement And Hip Brace Fixation On Elderly Hip Fracture Patients

Objective: To investigate the clinical efficacy of artificial hip replacement combined with hip brace fixation on elderly hip fracture patients and to compare the prognoses of the patients. Methods: A total of 96 hip fracture patients admitted to our hospital from February 2017 to August 2018 were enrolled as the study cohort, of which 50 patients undergoing artificial hip replacement combined with hip brace fixation were assigned to a research group, and the rest undergoing artificial hip replacement combined with traditional T-shaped anti-rotation shoes were assigned to a control group. The following indexes of the two groups were recorded and compared: Getting out-of-bed time, hospital stay, fracture healing time, postoperative complications, and the expressions of interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-alpha) at different time points. The hip joint function the two groups was evaluated using the Harris score after 2 and 6 months of treatment, and the bone mineral density of the two groups was measured at 7 days and 6 months after surgery. In addition, all the patients were followed up for six months after their discharges to determine their quality of life. Results: The research group experienced earlier getting outof-bed times, earlier fracture healing times, and shorter hospital stays than the control group ((3.42 +/- 0.81) d vs. (4.57 +/- 0.96) d, (112.45 +/- 7.61) d vs. (134.45 +/- 7.89) d, and (12.16 +/- 3.02)d vs. (14.69 +/- 4.19) d, all P<0.001) and also showed fewer complications than the control group (P<0.05). In addition, before the treatment, the two groups had no significant differences in their expressions of IL-6 and TNF-alpha, but after 7 days of treatment, the expressions in the research group were significantly lower than they were in the control group (P<0.001). After 6 months of treatment, the research group got a greatly higher Harris hip score than the control group (P=0.001), and showed better bone mineral density than the control group (P<0.05). The follow-up results showed that the research group got higher quality of life scores than the control group (P<0.05). Conclusion: Artificial hip replacement combined with hip brace fixation is superior to artificial hip replacement combined with traditional T-shaped anti-rotation shoes, because it can effectively promote the recovery of elderly patients and reduce their complications, it is more efficacious on elderly hip fracture patients, and it can improve their life quality after surgery. Therefore, it is an effective postoperative treatment method.