局解手术学杂志2025，Vol.34Issue(4)：320-324,5.DOI:10.11659/jjssx.04E024007
双动全髋关节置换术治疗偏瘫侧股骨颈骨折的临床效果观察
Clinical effect of dual mobility total hip arthroplasty for the treatment of femoral neck fracture of the hemiplegic side
摘要
Abstract
Objective To investigate the clinical effects and safety of dual mobility total hip arthroplasty for the treatment of femoral neck fracture of the hemiplegic side.Methods Patients with hemiplegia and femoral neck fracture who underwent hip arthroplasty in our hospital from March 2021 to March 2023 were selected as the research objects,and they were randomly divided into the dual mobility group(dual mobility total hip arthroplasty was performed)and the hemiarthroplasty group(hemiarthroplasty was performed),with 31 cases in each group.The perioperative status,postoperative hip function and postoperative complications of patients in the two groups were analyzed and compared.Results The operative time of patients in the dual mobility group was longer than that in the hemiarthroplasty group,the difference was statistically significant(P<0.05),but there was no statistically significant difference in intraoperative blood loss,total drainage volume 3 days after operation or hospital stay between the two groups(P>0.05).One month after surgery,there was no significant difference in hip Harris score between the two groups(P>0.05).At 6 months and 12 months after surgery,the hip Harris scores of patients in the dual mobility group were better than those in the hemiarthroplasty group,and the differences were statistically significant(P<0.05).In the case of different preoperative muscle strength of the hemiplegic side,the hip Harris scores of patients in the dual mobility group at 6 months and 12 months after surgery were better than those in the hemiarthroplasty group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications was 12.9%(4/31)in the dual mobility group,and it was 22.6%(7/31)in the hemiarthroplasty group,without significant difference between the two groups(P>0.05).Conclusion For patients with femoral neck fracture and decreased muscle strength of affected limb due to hemiplegia,the use of dual mobility total hip arthroplasty can achieve good postoperative function and anti-dislocation effect.关键词
双动全髋关节/关节置换术/偏瘫/股骨颈骨折Key words
dual mobility total hip/arthroplasty/hemiplegia/femoral neck fracture分类
医药卫生引用本文复制引用
尹巍,马宁,姜龙,吴思文,赵丽丽..双动全髋关节置换术治疗偏瘫侧股骨颈骨折的临床效果观察[J].局解手术学杂志,2025,34(4):320-324,5.基金项目
黑龙江省卫生健康委科研课题(20220303020984) （20220303020984）
