人工股骨头置换治疗高龄不稳定股骨转子间骨折  

Artificial femoral head replacement in treatment of advanced age patients with unstable intertrochanteriefemoral fractures

作　　者：李建国[1] 穆立昌[1] 

机构地区：[1]平度市人民医院骨一科,山东省平度266700

出　　处：《中国基层医药》2011年第20期2782-2783,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：探讨人工股骨头置换治疗高龄股骨不稳定转子间骨折的临床疗效。方法回顾性分析选用人工股骨头置换治疗75岁以上股骨转子问不稳定骨折52例患者的临床资料。观察术后并发症、术后负重时间及根据Harris对髋关节功能进行评估。结果所有患者术后均获6～24个月随访，平均13．2个月。术后肺部感染1例，下肢深静脉血栓3例，平均下地负重时间28d，术后6个月Harris评分：优25例，良18例，可7例，差2例，优良率82．7％。结论人工股骨头置换术是治疗高龄不稳定股骨转子间骨折的一种安全有效的方法。To evaluate the clinical effect of artificial femoral head replacement in treatment of unstable intertrochanteric femoral fractures. Methods The clinical data of 52 unstable intertrochanteric femoral fractures patients with artificial femoral head replacement were retrospectivly analyzed. Postoperative complications and postoperative weight-bearing time were recorded. The function of joints was evaluated with Harris score. Results All patients were followed up for 6 to 24 months, an average of 13.2 months. 1 case was a lung infection after surgery, and 3 cases were deep vein thrombosis. Weight-bearing walking time averaged 28 days. According to Harris score ：25 cases were rated as excellent, 18 good ,7 fair,2 poor. A total of 82.7% of patients had their joint function returned to normal or near normal. Conclusion It was an effective mothod to treat the unstable intertrochanteric fractures in elderly patients with hemiarthroplasty.

关 键 词：股骨转子间 骨折 不稳定型 人工 股骨头 置换 老年人 

分 类 号：R687[医药卫生—骨科学]