中国组织工程研究与临床康复2011，Vol.15Issue(52)：9774-9777,4.DOI:10.3969/j.issn.1673-8225.2011.52.020
人工股骨头置换治疗高龄股骨转子间骨折与股骨颈骨折的比较
Artificial femoral head replacement for intertrochanteric fractures versus femoral neck fractures in elderly patients
左进步 1余磊 1梁宏伟 1王伟 1赵斌 1齐进如1
作者信息
- 1. 武装警察部队北京总队医院骨科,北京市,100027
- 折叠
摘要
Abstract
BACKGROUND: Using femoral head replacement for femoral neck fractures which shift significantly has become a consensus,but using artificial femoral head replacement for intertrochanteric fractures is controversial.OBJECTIVE: To compare the effects and prognosis of artificial femoral head replacement for unstable intertrochanteric fracturesand femoral neck fractures in elderly patients, and to evaluate the curative of unstable intertrochanteric fractures in elderly patientswith the artificiall femoral head replacement.METHODS: Totally 112 cases with artificial femoral head replacement for treating unstable intertrochanteric fractures and femoralneck fractures in elderly patients from June 2005 to June 2009 were selected. There were 52 cases in intertrochanteric fracturesgroup, and 60 cases in femoral neck fractures group. Operation time, blood loss, time of post -surgery exercise, and hip functionwere compared.RESULTS AND CONCLUSION: All the patients were followed-up for 12 to 39 months after replacement. Hip function wasevaluated by Harris score which showed that the excellent and good rate was 92.1%, evaluation excellent for 22 cases, good for25 cases, fair for 3 cases, and poor for 1 case in the intertrochanteric fractures group, but in the femoral neck fractures group, theexcellent and good rate was 91.3%, evaluation excellent for 28 cases, good for 25 cases, fair for 4 cases, and poor for 1 case.Operation time (P < 0. 05) and blood loss (P < 0. 05) in the femoral neck fractures group were significantly lower than those in theintertrochanteric fractures group. There was no significant difference of the time of post -surgery exercise and excellent and goodrate of efficacy in the two groups. It is indicated that artificial femoral head replacement can be used as the main method for thetreatment of unstable intertrochanteric fractures in the elderly.关键词
高龄/人工股骨头置换/股骨转子间骨折/股骨颈骨折/植入体分类
基础医学引用本文复制引用
左进步,余磊,梁宏伟,王伟,赵斌,齐进如..人工股骨头置换治疗高龄股骨转子间骨折与股骨颈骨折的比较[J].中国组织工程研究与临床康复,2011,15(52):9774-9777,4.
