双极股骨头置换治疗高龄股骨颈骨折108例随访  

Bipolar hemiarthroplasty for femoral neck fractures:Follow-up of 108 cases

作　　者：侯喜君[1] 张连清[1] 王春华[1] 李玉强[1] 

机构地区：[1]秦皇岛市第一医院骨三科,河北省秦皇岛市066000

出　　处：《中国组织工程研究与临床康复》2009年第17期3332-3335,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：秦皇岛市第一医院于2002-01/2008-06采用人工股骨头置换治疗股骨颈骨折,共108例患者获得随访,随访过程中回顾分析患者的住院时间、手术时间及术中出血量,并对置换前、后的X射线结果及随访过程中髋关节Harris评分进行评估,以评价患者近期疗效。患者随访6个月～5年,平均3.4年。髋关节Harris评分优42例,平均96.4分;良50例,平均85.7分;中10例,平均74.5分;差6例,优良率85.2%。X射线结果显示随访期间假体位置良好,无松动及下沉。人工股骨头置换治疗高龄股骨颈骨折手术时间短,出血少,可降低手术风险。置换后患者功能恢复满意,可有效提高患者生活质量,是一种治疗股骨颈骨折的满意方法。108 patients with femoral neck fractures were treated with bipolar hemiarthroplasty in Qinhuangdao First Hospital from January 2002 to June 2008. All patients were followed up. The length of stay and operation, and the quantity of bleeding during operation were retrospectively analyzed; the results of X-ray before and after operation and the Harris hip scores after operation were assessed during follow-up to assess the clinical outcome. All patients were followed-up for 6 months to 5 years （average 3.4 years）. According to the Harris hip score, 42 cases rated as excellent, with mean score of 96.4; 50 as good, with mean score of 85.7; 10 as fair, with mean score of 74.5; 6 as poor; the excellent and good rate was 85.2%. No prosthetic loosening or subsidence occurred according to X-ray results. Bipolar hemiarthroplasty for femoral neck fractures can reduce operation time, risk and blood loss during operation, and effectively improve quality of life, which is a satisfactory therapy for femoral neck fractures.

关 键 词：人工股骨头置换 关节成形术 骨折 股骨颈 

分 类 号：R318[医药卫生—生物医学工程]