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人工股骨头置换与全髋关节置换术治疗骨质疏松性股骨颈骨折的疗效比较

成小辉 刘伟峰

中国现代医生Issue(10):56-58,3.
中国现代医生Issue(10):56-58,3.

人工股骨头置换与全髋关节置换术治疗骨质疏松性股骨颈骨折的疗效比较

Comparison effects between hemiarthroplasty and total hip arthroplasty for osteoporotic femoral neck fracture

成小辉 1刘伟峰2

作者信息

  • 1. 解放军第一五二中心医院骨二科,河南平顶山 467000
  • 2. 河南省平顶山市平煤八矿医院,河南平顶山 467000
  • 折叠

摘要

Abstract

Objective To compare effects between hemiarthroplasty and total hip arthroplasty for osteoporotic femoral neck fracture. Methods Clinical data of 67 cases with osteoporotic femoral neck fracture were respectively analyzed,of whom,32 cases were treated by hemiarthroplasty,and 35 cases were treated by total hip arthroplasty. Clinical efficacy of two groups was compared. Results The mean operative time of total hip arthroplasty group was longer than that in hemiarthroplasty group,and postoperative blood transfusion was more than that in hemiarthroplasty group(P all<0.01). Harris scores of total hip arthroplasty group at 6 months and 12 months after treatment were higher than those in hemi-arthroplasty group(P<0.01). Complications of two groups had no significant difference(P>0.05). Conclusion Compared with hemiarthroplasty, total hip arthroplasty for osteoporotic femoral neck fracture can recover hip function better, but its relatively surgical trauma is large, so clinical work should choose the best surgical method depending on the cir-cumstances of the patient.

关键词

骨质疏松/股骨颈骨折/人工股骨头置换术/全髋关节置换术

Key words

Osteoporosis/Femoral neck fracture/Hemiarthroplasty/Total hip arthroplasty

分类

医药卫生

引用本文复制引用

成小辉,刘伟峰..人工股骨头置换与全髋关节置换术治疗骨质疏松性股骨颈骨折的疗效比较[J].中国现代医生,2015,(10):56-58,3.

中国现代医生

1673-9701

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