人工髋关节置换术治疗超高龄老年股骨颈骨折  

Total Hip Replacement in Treatment of Femoral Neck Fractures in the Super-Elderly

作　　者：张寿[1] 韩伟[2] 郭祥[1] 周业渊[1] 邢势[1] 金旭红[1] 张小明[1] 

机构地区：[1]海口市人民医院,海口570208 [2]新疆沙湾县人民医院

出　　处：《中国骨肿瘤骨病》2007年第1期18-21,共4页Chinse Journal Of Bone Tumor And Bone Disease

摘　　要：目的探索一期人工髋关节置换术治疗超高龄老年股骨颈骨折可行性。方法回顾性分析自1999年至2004年收治并施实人工髋关节置换术48例(50髋),随访3个月～72个月。结果分别以80～89岁、90～95岁、96～102岁年龄段进行术前手术风险评价及术后功能评价,其中术前风险评价安全8例,占37.5%,中危26例,占54.2%,高危4例,占8.3%。术后功能评价,优28例,占58%,良18例,占37.5%,差2例,占4%。结论一期人工髋关节置换术适合于超高龄老年股骨颈骨折,尤适合骨折早期并术前手术风险评价安全或中危病人。Objective To explore the effect of total hip replacement in the treatment of super elderly femoral neck fractures. Methods 48 patients with their age over 80 years old were underwent total hip replacement. Follow-up period ranged from3 to 72 months. Results Patients were evaluated of the operation risk and function after operation by dividing 3 groups as 80 to 89 years old and 90 to 95 years old and 96 to 102 years old. For operation risk, there were 8 cases of safe（37.5%） and 26 cases of lower risk（54.2%） and 4 cases of high risk（8.3%）. For postoperative function, 28 cases were excellent （58%） and 18 good（37.5%） and 2 poor. Conclusions Total hip replacement is fit for the treatment of femoral neck fractures in the super elderly, particularly for the elderly who have evaluated as safe or lower risk for operation.

关 键 词：超高龄 骨质疏松 股骨颈骨折 全髋置换 

分 类 号：R687.3[医药卫生—骨科学]