采用髋关节置换术治疗老年股骨粗隆间骨折  

Hip joint replacement for the treatment of intertrochanteric fractures in the elderly.

作　　者：隆晓涛[1] 赵玉峰[2] 霍强[1] 

机构地区：[1]重庆市中山医院骨三科,重庆400013 [2]第三军医大学大坪医院野战外科研究所全军战创伤中心,重庆400042

出　　处：《创伤外科杂志》2006年第3期226-227,共2页Journal of Traumatic Surgery

摘　　要：目的探讨采用髋关节置换术治疗老年股骨粗隆间骨折的疗效。方法本组47例老年股骨粗隆间骨折,36例采用全髋关节置换术治疗,11例合并有其他器官疾病不能耐受长时间手术患者,采用半髋关节(人工股骨头)置换术治疗。结果本组病例随访3年,按Charn ley人工全髋关节置换疗效标准进行分级,优良率达到91.5%。所有患者平均卧床时间为10.3天,除1例出现褥疮,其余患者无并发症发生。结论髋关节置换术治疗老年股骨粗隆间骨折,具有缩短患者卧床时间、减少并发症、手术创伤相对较小等优点。手术适应证的选择非常重要,且直接关系到手术效果;术前准备及假体类型的选择极为重要;术中精确操作是减少术后并发症的关键。Objective To study the curative effect of hip joint replacement for the intertrochanteric fractures in senile patients. Methods Of 47 senile patients with intertrochanteric fractures, 36 were treated by total hip joint replacement, 11 patients suffering from other organ illness were treated by femoral head replacement because of they were incapable of enduring long time operation. Results The average follow-up time was 3 years. The excellent rate was 91.5% according to the Charnley total hip arthroplasty-assessing standard. The average bedridden time was 10.3 days. There was no complication except one case of bedsore. Conclusion The merits of hip joint replacement for the treatment of senile patients with intertrochanteric fractures are reducing bedridden time and complications. The proper choice of surgery indication is important to curative effect. The pre-operative preparation is important too. The key to reduce post-operation complications is careful manipulations in the operation.

关 键 词：髋关节 置换术 老年 股骨粗隆间骨折 

分 类 号：R683.42[医药卫生—骨科学]