骨质疏松患者股骨颈骨折人工股骨头置换术后不同治疗方法的比较  

Comparison of Different Treatment Methods after Artificial Femoral Head Replacement in Osteoporosis Patients with Femoral Neck Fracture

作　　者：吕浩然[1] 黄彦[1] 杨进顺[1] 胡海澜[1] 

机构地区：[1]广州医学院第二附属医院骨外科,广东广州510260

出　　处：《临床医学工程》2011年第6期825-826,共2页Clinical Medicine & Engineering

基　　金：广东省医学科学研究基金项目"骨密度测定与人工髋关节置换术后假体松动的相关研究"(编号:A2008274)

摘　　要：目的通过对使用阿仑磷酸盐治疗人工股骨头置换股骨颈骨折的结果进行比较分析,探讨两者之间的差异。方法采用回顾性总结的方法,收集52例高龄老人股骨颈骨折采用人工股骨头置换术,随机分组使用阿磷酸盐治疗,经过12个月以上的随访,比较两组间在术后内固定物松动情况等方面存在的异同。结果阿仑磷酸盐组与非阿仑磷酸盐组比较,术后松动率有显著不同。阿仑磷酸盐组无明显的假体松动依据。结论对于骨质疏松的股骨颈骨折人工股骨头置换术患者,为较少的术后并发症发生使用阿仑磷酸盐辅助治疗较为合理。Objective Through the comparitive analysis of the results of alendronic acid for the treatment of hemiarthroplasty femoral neck fracture,to discuss the differences between the two groups. Methods Using the methods of retrospective review,the author collected 52 cases of femoral neck fracture who were treated by alendronic acid or no-alendronic acid respectively. After 12 months of follow-up,the author compared the bone density change and the rate of prosthesis loosing between two groups. Results There was siganificant difference between two groups. Then,no evident proof of prosthesis loosening emerged in alendronic acid group. Conclusion For osteoporosis patients with femoral neck fracture,little post-operation complication shall be expected,alendronic acid is a reasonable adjunctive therapy to arthroplasty in treating femoral neck fracture.

关 键 词：关节置换 髋骨折 阿仑磷酸盐 骨质疏松 

分 类 号：R687.3[医药卫生—骨科学]