Abstract：Objective: To research the clinical status of hip ankylosis after internal fixation for hip fracture and the selection of retreatment plan. Methods: The medical records of 82 elderly patients with hip ankylosis after fracture fixation were analyzed retrospectively. According to the different treatment plan, they were divided into the hip replacement group (50 cases) and the re internal fixation group (32 cases). Analyzed the causes of postoperative ankylosis and the choice of retreatment regimen, and compared the clinical efficacy and prognosis of the two retreatment regimens. Result: The main causes of ankylosis after internal fixation were screw loosening, head and neck cutting, poor fracture healing or osteonecrosis of the femoral head. In the choice of re treatment plans, most patients were selected partial fracture healed again. The patients with nonunion or necrosis of the femoral head were all selected for total hip replacement. There were no significant differences in the hip function score and barthel score at each time point after treatment in two differcet re treatment plans, and the differences were not statistically significant, the differences were not statistically significant (P>0.05). During the follow-up period, there were no complications such as deep vein thrombosis, infection, loosening and subsidence of the prosthesis, and the two treatments were safe and reliable. Conclusion: Artificial total hip replacement or secondary internal fixation can help patients to promote fracture healing, eliminate joint stiffness, so as to restore hip function as soon as possible. The appropriate treatment should be selected according to the actual situation of the patients.
杨益, 文俊恩, 赵海, 温广宇, 王隆辉, 陈定中. 髋关节骨折内固定术后强直的临床状况及再次治疗方案的选择[J]. 河北医学, 2018, 24(7): 1169-1173.
YANG Yi, WEN Junen, ZHAO Hai, et al. The Clinical Status of Hip Ankylosis after Internal Fixation for Hip Fracture and the Second Selection of Retreatment Plan. HeBei Med, 2018, 24(7): 1169-1173.
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2018, Vol. 24 
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