全髋关节和半髋关节置换术治疗股骨颈骨折的比较  

Compaison the outcomes of hemiarthroplasty and total hip arthroplasty in the treatment of femur neck fractures

作　　者：匡光志[1] 谢国均[1] 吴焯鹏[1] 

机构地区：[1]广东省开平市中心医院外二科,529000

出　　处：《中华关节外科杂志（电子版）》2007年第3期147-149,共3页Chinese Journal of Joint Surgery(Electronic Edition)

摘　　要：目的评价全髋关节置换术和半髋关节置换术治疗股骨颈骨折的临床疗效并进行比较。方法回顾性分析53例（54髋）股骨颈骨折患者，男22例，女31例，年龄52—89岁（平均71岁），分别行全髋和半髋关节置换治疗，随访1—9年，平均5．4年。对其住院时间、手术时间、手术出血、术后失血、输血总量、有无并发症、术后功能恢复情况等作比较。结果全髋置换组手术时间明显长于半髋置换组（P〈0．05）；术中出血量、术后出血量、输血总量、住院时间长短均无明显统计学差异（P〉0．1）；术后并发症无明显统计学差异；半髋置换患者术后大腿痛明显多于全髋置换（P〈0．05）；术后功能恢复情况无明显统计学差异。结论半髋和全髋置换治疗股骨颈骨折的效果是满意的，对身体条件好，术后活动较多的或较为年轻的患者宜选择全髋关节置换术。Objective To evaluate the outcomes of total hip arthroplasty and hemiarthroplasty in the treatment of femur neck fractures. Methods Clinical materials 53 cases （54 hips） ,22male and 31 female, average 71 years old, of femur neck fracture undergone total hip arthroplasty and hemiarthroplasty were retrospectively analyzed, average follow-up time was 5.4 years. Hospitalized period, operation time, amount of hemorrhage during operation and blood lost after operation, eomplication, and function restoration etc ,were compared. Results The average operation time of total hip arthroplasty was longer significandy than that of hemiarthroplasty （P 〈0. 05 ） ; the thigh pains after hemiarthroplasty are remarkably more than those after total hip arthroplasty （ P 〈 0. 05 ） ; the others were of no difference （ P 〉 0. 1 ）. Conclusion The effects of total hip arthroplasty and hemiarthroplasty in the treatment of femur neck fractures are satisfactorily. Total hip arthroplasty is poptimal to those who are in good condition or relative younger or more active after operation.

关 键 词：股骨颈骨折 关节成形术 置换 髋 治疗 

分 类 号：R687.3[医药卫生—骨科学]