高龄股骨转子间骨折人工股骨头置换  

Study on Hemi-hip Replacement of Intertrochanteric Fractures in the Elderly Patients

作　　者：陆勇[1] 胡裕桐[1] 毛宾尧[1] 

机构地区：[1]宁波市第一医院,浙江宁波315010

出　　处：《实用骨科杂志》2004年第2期117-119,共3页Journal of Practical Orthopaedics

摘　　要：目的　通过一组病例的回顾性分析 ,对人工股骨头置换治疗高龄股骨转子间骨折的疗效进行评价并探讨其适应证。方法　于 1994年至 2 0 0 2年对收治的 16例股骨转子间骨折的患者进行了人工股骨头置换治疗。男性 4例 ,女性 12例 ,年龄 82～ 91岁 ,平均 86岁。 2例为内固定失败骨不愈合病例 ,其余 14例为新鲜骨折 ,假体均为骨水泥型。随访时间 3～ 8a,平均 5 a。结果　 1例术后 1a因肺心病死亡 ,2例假体下沉 ,轻至中度髋痛 ,其余在随访期无行走时疼痛 ,生活自理 ,无髋臼磨损及假体脱位病例。Objective To assess curative effect and investigate the indications of treatment intertrochanteric fractures using prosthetic replacement in elderly patients.The series cases were retrospectively analysed.Methods Between 1994 and 2002, sixteen patients including four men and twelve women underwent cement prosthetic replacement for the intertrochanteric fractures.The mean age of the patients at the time of the arthroplasty was eighty-six years.(range, eighty-two to ninety-one).Fourteen cases were fresh fracture, the other two were nonunion fracture aften internal fixation failure.The mean length of follow-up was 5 years(rang, 3～8 years).Results One case was died with pulmonary heart disease at one year after the operation and two cases were prosthetic sink with mild or moderate hip pain.The others could walk without hip pain, no radiographic evidence of acetabular wear and prothetisis dislocation during the followup.Conclusion The prothetic replacements can treat intertrochanteric fracture in the elderly if operative indication was correctly selected.

关 键 词：高龄 股骨转子间骨折 人工股骨头置换术 手术治疗 适应证 

分 类 号：R683.42[医药卫生—骨科学]