人工髋关节置换治疗老年骨质疏松性股骨颈骨折  

Clinic study of artificial femoral head replacement for femoral neck fracture caused by geriatric osteoporosis

作　　者：李军[1] 黄恩申 

机构地区：[1]沈阳市骨科医院

出　　处：《中国骨质疏松杂志》2009年第5期354-356,共3页Chinese Journal of Osteoporosis

摘　　要：目的探讨人工股骨头置换术与全髋关节置换术治疗老年骨质疏松性股骨颈骨折的疗效。方法将我科109例老年有移位的股骨颈骨折患者分为两组,人工股骨头置换术（BFHR）组44例和全髋关节置换术（THR）组65例,并对两组进行疗效比较。结果BFHR组平均手术时间、平均输血量、平均住院费用及术后早期并发症的发生率均明显低于THR组,通过统计学分析差异有统计学意义。BFHR组手术安全性更高。且两组平均住院时间、术后Harris功能评分统计学差异无统计学意义。结论人工股骨头置换治疗老年骨质疏松性股骨颈骨折早期效果满意,优于全髋关节置换术。Objective To evaluate the clinic effectiveness of artificial bipolar femoralheod replacement （BFHR） and total hip replacement （THR） regarding femoral neck fracture caused by geriatric osteoporosis. Methods 109 cases of femoral neck fracture were divided into two groups. Patients in group Ⅰ （44 cases） were treated by BFHR and patients in group Ⅱ （65 cases） were treated by THR. Results The clinic effectiveness of BFHR was better than THR （P 〈 0.05 ）, including average operating time, the average blood transfusion, the average cost of hospitalization, complication after early operation. BFHR group are safer than THR on operating. There was no significant difference between two groups in the average length of stay and Harris score. Conclusion BFHR is a better approach in early periods than THR for femoral neck fracture caused by geriatric osteoporosis.

关 键 词：老年人 骨质疏松 股骨颈骨折 人工股骨头置换 全髋关节置换 

分 类 号：R681.8[医药卫生—骨科学]