股骨近端骨折：关节置换治疗急性关节囊内骨折：半髋与全髋置换  

Proximal femoral fractures：Acute intracapsular fractures treated with arthroplasty： hemiarthroplasty versus total hip arthroplasty

作　　者：MohitBhandari JosephRDettori 李旭(译校)[2] 

机构地区：[1]AO Publishing, Switzerland Clavadelerstrasse, CH-7270Davos Platz [2]广州市儿童医院骨科

出　　处：《中华创伤骨科杂志》2008年第5期473-479,共7页Chinese Journal of Orthopaedic Trauma

摘　　要：来自四项随机或半随机对照研究（RCT）的证据表明，股骨近端骨折接受半髋（HA）或全髋置换（THA）的患者，尽管其翻修的风险增高，但脱位的发生率则显著下降。接受HA的患者术后活动度可能相对较低，但上述各项研究结果的统计学显著性并不一致。假体类型与死亡率之间亦无显著相关。由于各项研究中所使用的方法和假体类型并不统一，因此对其结果的诠释尚需谨慎。Evidence from four randomized or quasi randomized controlled trials （RCT） suggests that for patients presenting with proximal femoral fractures, relative to total hip arthroplasty （THA）, patients with hemiarthroplasty （HA） may be at lower risk for dislocation, although at higher risk for revision. Patients with HA may have less mobility, but statistical significance was not consistent across studies. No significant differences in mortality based on prosthesis type were reported. Results should be interpreted cautiously given lack of homogeneity with respect to methods and prostheses used.

关 键 词：股骨近端骨折 关节囊内骨折 全髋置换 置换治疗 半随机对照研究 急性 假体类型 发生率 

分 类 号：R687.3[医药卫生—骨科学]