中国现代手术学杂志2017，Vol.21Issue(1)：36-39,4.DOI:10.16260/j.cnki.1009-2188.2017.01.009
不同假体髋关节置换术治疗骨质疏松性髋关节骨折的临床疗效
Clinical Effect on Hip Replacement with Different Prosthesis for Osteoporotic Hip Fracture
摘要
Abstract
Objective To discuss the clinical effects of different hip prosthesis during the hip replacement in the treatment of osteoporotic hip fractures.Methods From April 2013 to December 2015,a total of 76 patients with osteoporotic hip fractures were randomized into the observation group and the control group,with 38 patients for each.All patients were carried out the hip replacement.The observation group was performed the bioprosthesis implantation,and the control group was performed bone cemented prosthesis implantation.Results All patients were successfully completed the hip replacement without serious complications.Three months after the surgery,the Harris score of postoperative outcome was 92.1％ and 68.4％ respectively,and the postoperative complications rate such as infection,nerve injury,pulmonary infection and phlebothrombosis of lower limb was 5.3％ and 28.9％ respectively in the observation group and the control group,there were statistical differences between two groups (P ＜ 0.05).The hip activity of the observation group and the control group was 164.22° ±22.16° and 134.24° ± 19.92° respectively 3 months after the surgery,both were improved obviously than 69.33° ± 15.29°and 71.39° ± 16.02°of preoperation (P ＜ 0.05).And the hip activity was better in the observation group than that in the control group (P ＜ 0.05).Conclusion Compares with the bone cement prosthesis,application of lower extremity reconstruction based on bioprosthesis fixation can improve the postoperative hip joint activities and hip function for the treatment of osteoporotic hip fractures,it also can reduce the complications and promote early rehabilitation of the patients.关键词
髋骨折/关节成形术,置换,髋/生物假体/骨质疏松Key words
hip fractures/arthroplasty/replacement/hip/bioprosthesis/osteoporosis分类
医药卫生引用本文复制引用
沈小辉,杨菲,喻伟,刘志刚..不同假体髋关节置换术治疗骨质疏松性髋关节骨折的临床疗效[J].中国现代手术学杂志,2017,21(1):36-39,4.基金项目
2014年十堰市科学技术研究与开发项目(编号:14Y50) （编号:14Y50）
