人工股骨头置换术治疗高龄患者股骨粗隆部骨折疗效观察  

Artificial femoral head replacement for femoral intertrochanteric fractures in the elderly

作　　者：王冀[1] 潘德锦 方崇瑞[1] 李东超[1] 李根宝[1] 沈素华[1] 胡振忠[1] 陈研[1] 李亚非[1] 

机构地区：[1]北京市健宫医院骨科,100054

出　　处：《中国医药》2009年第1期57-58,共2页China Medicine

摘　　要：目的观察人工股骨头置换术对股骨粗隆部骨折的疗效。方法采用双极骨水泥型人工股骨头置换术治疗77例股骨粗隆部骨折患者，术后给予相应康复治疗。结果1例术后因多器官功能不全院内死亡；76例患者安全度过围手术期，顺利康复，随访至今，髋关节功能基本恢复到伤前，均可实现生活自理。Charnley髋关节疗效评分：5分63例，6分13例。结论人工股骨头置换术是治疗高龄患者的股骨粗隆部骨折的有效方法之一，固定效果可靠，患者可以早期离床活动，有效减少术后并发症。Objective To evaluate the clinical effect of artificial femoral head replacement for treatment of unstable femoral intertroehanteric fracture in patients over 75 years old. Methods Seventy-seven cases of femoral intertrochanteric fractures aged over 70 years were treated with artificial femoral head replacement. Results One patient died after operation. The curative effect was excellent. Conclusion Artificial femoral head replacement is an effective method to treat the aged patients with femoral intertrochanterie fractures.

关 键 词：股骨骨折 关节成形术 股骨头假体 

分 类 号：R683.42[医药卫生—骨科学]