人工全髋关节置换术治疗老年股骨颈骨折  

Total hip arthroplasty in treatment of elderly patients with femoral neck fracture

作　　者：梁润林[1] 刘先银[1] 郭建恩[1] 刘世祯[1] 张紫机[2] 

机构地区：[1]东莞市人民医院骨科,广东523018 [2]中山大学第一附属医院,广州51008

出　　处：《岭南现代临床外科》2009年第1期45-46,60,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨人工全髋关节置换术治疗老年股骨颈骨折的临床疗效。方法对52例应用人工全髋关节置换术治疗老年股骨颈骨折患者临床资料进行回顾性分析,并对骨水泥固定16例与未用骨水泥固定18例的临床疗效进行比较。结果随访时间1～10年,平均5年6个月。根据Harris髋关节评分标准,骨水泥组疗效:优11例,良8例,尚可4例,差2例;非骨水泥组疗效:优11例,良10例,尚可5例,差1例。结论人工全髋关节置换术是老年股骨颈骨折的理想治疗方法。应用骨水泥固定与非骨水泥方法,两者疗效并无显著差异。Objective To study the cruative effects on total hip arthroplasty in elderly patients with femoral neck fracture. Methods 52 elderly patients with femoral neck fracture received total hip arthroplasty were analyzed retrospect. Results All cases were followed up for one year to ten years. According to Harris hip joint score criteria, 11 cases were excellent , 8 cases were good, 4 cases were fair,2 cases were poor in bone cement group and 11 cases were excellent, 10 cases were good,5 cases were fair, 1 cases were poor in uncemented group. Conclusion Total hip arthroplsty is a good choice for elderly patients with femoral neck fracture. There is no statistically significant difference in middle-term and long-term effect between bone cement and uncemented hip arthroplasty.

关 键 词：全髋关节置换术 股骨颈骨折 骨水泥 

分 类 号：R683.4[医药卫生—骨科学]