中国组织工程研究Issue(39)：7003-7008,6.DOI:10.3969/j.issn.2095-4344.2013.39.022
骨水泥型人工半髋与全髋关节置换治疗高龄股骨颈骨折的比较
Cementless total hip arthroplasty versus hemiarthroplasty for the treatment of old femoral neck fracture
黄道文 1胡文浩 2魏波 2徐燕 2王黎明2
作者信息
- 1. 安徽省蚌埠市五河县五河人民医院骨科,安徽省蚌埠市,233300
- 2. 南京市第一医院骨科,江苏省南京市,210006
- 折叠
摘要
Abstract
BACKGROUND:There is controversy on the treatment of old femoral neck fracture with hemiarthroplasty. <br> OBJECTIVE:To observe the clinical effect of cementless hemiarthroplasty in the treatment of old femoral neck fracture, and to compare with total hip arthroplasty. <br> METHODS:A retrospective analysis was performed on the clinical data of 23 old femoral neck fracture patients treated by artificial joint replacement from January 2009 to June 2010. Among the 23 patients, 11 cases were treated with cementless hemiarthroplasty, and 12 cases were treated with total hip arthroplasty. The time for off-bed activity, Harris score and the incidence of perioperative complications were compared between cementless total hip arthroplasty and hemiarthroplasty. <br> RESULTS AND CONCLUSION:Al the patients were fol owed-up for 12-18 months. The active straight leg raising angle, time for off-bed activity, incidence of early postoperative complications and Harris score at 1 week after treatment of the cementless hemiarthroplasty group were better than those of the total hip arthroplasty group;there were no significant differences in Harris score at 6 weeks, 3 and 6 months between two groups;the incidence of forward hip pain of the cementless hemiarthroplasty group was higher than that of the total hip arthroplasty group. So, we general y think that cementless hemiarthroplasty has better short-term effect in the treatment of old femoral neck fracture, but the long-term integrated efficacy needs to be further identified.关键词
骨关节植入物/骨与关节学术探讨/高龄患者/股骨颈骨折/人工关节/全髋关节置换/半髋关节置换/骨水泥型假体/生物相容性分类
医药卫生引用本文复制引用
黄道文,胡文浩,魏波,徐燕,王黎明..骨水泥型人工半髋与全髋关节置换治疗高龄股骨颈骨折的比较[J].中国组织工程研究,2013,(39):7003-7008,6.
