人工股骨头置换术治疗老年人股骨颈骨折的疗效评价  

Clinical Results of Artifical Femoral Head Replacement for Treament of Femoral Neck Fracture in the Aged

作　　者：李启祥[1] 杨立新[2] 桑双进 张则正[3] 

机构地区：[1]北京大兴区红星医院 [2]北京佑安医院肝胆外科 [3]首都医科大学附属北京天坛医院骨科

出　　处：《首都医科大学学报》2004年第2期256-258,共3页Journal of Capital Medical University

摘　　要：为探讨人工股骨头置换术治疗老年人股骨颈骨折的临床疗效 ,应用钛合金骨水泥型国产单极股骨头假体治疗头下型、头颈型股骨颈骨折并得到随访的病人 3 6例 ,均为单侧股骨颈骨折 ,随访 2 .0～ 5 .6年。结果 :术中无骨折及血管、神经损伤 ,术后无下肢深静脉血栓 ,无切口感染。根据病人情况适当功能锻炼 ,根据Harris评分法评定 ,优 9例 ,良 1 9例 ,中 4例 ,差 4例。提示 :应用人工股骨头置换术治疗老年人股骨颈骨折效果满意。The aim was to evaluate the clinical results of the artificial femoral head replacement for treatment of femoral neck fracture in the aged. We cured the fractures with Chinese single polar titanium combined with cemented femoral head from September, 1995 to July, 2001.All of the fractures were under the head of femur or in the middle neck of femur. Thirty-six patients of them were followed-up ranging from 2.0～5.6 years. All of them had single femoral neck fracture. They were researched in the outpatient department. Results: No re-fracture, nor injuries of the blood vessels happened and nerves in the operations. No deep venous thrombosis of the lower limbs, nor infective wounds were found after the operations. Appropriate exercising was carried out according to different patient's conditions. Based on Harris evaluation system, 9 patients had excellent results. 19 patients had fine results, and 4 patients had fair results and 4 patients had poor results, (The patients who had poor results had other diseases that could influence walk.) Authors think that it's satisfied to use the artificial femoral head replacement for treatment of femoral neck fracture in the aged.

关 键 词：人工股骨头置换术 治疗 老年人 股骨颈骨折 疗效评价 

分 类 号：R683.42[医药卫生—骨科学]