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Comprehensive treatment for old patients with hip fractures
Bai B, Wang KZ, Liu WK, Song JH, Chen JC
Zhonghua Chuang Shang Za Zhi [Chinese Journal of Traumatology] 2003 Oct;6(5):297-301
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To observe the effect of comprehensive treatment for hip fracture in old people. METHODS: Three hundred and seventy-two old patients with hip fractures were randomly divided into two groups, group A and group B. Cases in group A were treated only by operations. Cases in group B received comprehensive treatment. The Singh Indexes of both uninjured and injured femoral necks were used to judge the osteoporosis levels before operation and one year after the operation. The function of injured hip joints was evaluated one year postoperatively. RESULTS: Complications occurred in 36.56% of the cases in group A and 5.91% of group B. One year postoperatively, the Singh Index degree distributions of both uninjured and injured femoral necks in group A had no significant difference compared with those before the operation (p > 0.05). In group B, there was significant difference between one year postoperatively and before operation, and the Singh Index one year after the operation showed better result than that before operation (p < 0.05). One year after operation, there was significant difference in the function of injured hip joints between group A and group B (p < 0.05). CONCLUSIONS: Hip fracture in old people should be treated comprehensively according to its internal characteristics, osteoporosis.

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