骨水泥型半髋置换治疗老年股骨颈骨折(英文)  

Cemented hemiarthroplasty for femoral neck fractures in elderly patients

作　　者：李志刚[1,2] 赵德伟[2] 郭林[2] 夏重君[2] 

机构地区：[1]大连理工大学,电子信息与电气工程学部,生物医学工程系,辽宁省大连市116001 [2]大连大学附属中山医院骨科,辽宁省大连市116001

出　　处：《中国组织工程研究》2012年第26期4796-4800,共5页Chinese Journal of Tissue Engineering Research

摘　　要：背景:老年股骨颈骨折患者进行非骨水泥还是骨水泥人工股骨头置换是目前争论的焦点。目的:对85岁以上股骨颈骨折行骨水泥型人工股骨头置换患者的高风险的临床问题和功能结果进行评估。方法:32例股骨颈骨折患者进行骨水泥型双极人工股骨头置换治疗,所有患者在置换后1,3,6个月和以后每年行X射线片检查,患者平均随访2～5年。结果与结论:患者出现内科并发症发生5例(16%),在随访期间内死亡4例(25%)。脱位发生1例(3%),患者均未出现异位骨化。平均Harris髋关节评分为84分。说明骨水泥型人工股骨头置换治疗老年股骨颈骨折效果较好,稳定安全。BACKGROUND： A discussion is ongoing whether the elderly patients with femoral neck fractures should be treated with a non-cemented or a cemented hemiarthroplasty. OBJECTIVE： To evaluated the results of cemented hemiarthroplasty for femoral neck fractures in the patients older than 85 years with high-risk clinical problems and functional outcomes. METHODS： Thirty-two patients with femoral neck fractures were treated with cemented bipolar hemiarthroplasty. X-ray examination after operation was done at 1, 3 and 6 months and annually in all patients. The mean follow-up period was 2 to 5 years. RESULTS AND CONCLUSION： Medical complications occurred in five patients （16%） and four patients （25%） died within the follow-up period. Dislocation occurred in one patient （3%）. None of the patients had heterotopic ossification. The mean Harris-hip score was 84. Cemented hemiarthroplasty can provide stability, security and good outcomes for the treatment of femoral neck fractures in elderly patients.

关 键 词：水泥型半髋置换 股骨颈骨折 半髋置换 人工股骨头置换 老年 医学植入物 人工关节 

分 类 号：R318[医药卫生—生物医学工程]