应用生物型普通柄（短柄）假体治疗高龄股骨转子间骨折  

Biotype common handle （short handle） prosthesis in treatment of femoral intertrochanteric fracture in the elderly

作　　者：王少林[1] 

机构地区：[1]400013,重庆市中山医院(重庆市外科医院)骨科

出　　处：《中华创伤杂志》2013年第2期127-131,共5页Chinese Journal of Trauma

基　　金：重庆市卫生局医学科研计划资助项目

摘　　要：目的探讨和分析应用生物型普通柄（短柄）假体治疗高龄股骨转子间骨折的疗效。方法回顾性分析321例中获得随访280例患者，其中男102例，女178例；年龄72-98岁，平均82．5岁。骨折类型按偏髓分型：Ⅰa型65例，Ⅰb型215例。患者多合并内科疾病，相关内科协同治疗后，对所有患者采用标准生物型普通柄假体（人工双极股骨头）置换术，术后早期进行康复锻练。结果321例患者都顺利度过围术期，住院期间无死亡患者，术后并发症均在住院期间治愈。术后1～3周下床活动。280例获得随访，随访时间12～46个月，平均28个月，患者均能生活自理。按Harris评分标准：优129例，良121例，可22例，差8例，优良率达89．3％。结论施行生物型普通柄人工股骨头置换治疗高龄转子间骨折，是一种有效的治疗方法，可使患者早期下床活动，减少并发症，提高患者生活质量。Objective To discuss and analyze effect of biotype common handle （short handle） prosthesis in treating aged patients with femoral intertrochanteric fracture. Methods A retrospective analysis was carried out on 321 patients, among which 280 （102 males and 178 females, at age of 72-98 years, average 82.5 years ） obtained follow-up. According to a new fracture classification method （Piansui Classification）, the type Ⅰ a fracture was found in 65 cases and type Ⅰb in 215. Most patients were combined with medical diseases, and after related medical collaborative treatment, standard biotype common handle prosthesis （artificial bipolar femoral head） replacement was applied to all patients. Early rehabilitation exercise was performed postoperatively. Results All the 321 patients lived through perioperative period successively, with no death in hospitalization. Meanwhile, postoperative complications were all cured in hospitalization. The patients could take out-of-bed activity at 1-3 weeks after operation. All 280 patients could take care of themselves at 12-46 months （average 28 months） of follow-up. According to Harris score, the results were excellent in 129 cases, good in 121, fair in 22 and poor in eight, with excellence rate of 89.3%. Conclusion Biotype common handle artificial femoral head rcplacement is an effective method to allow early ambulation, reduce complications and improve quality of life in treatment of intertrochanteric fractures in the elderly.

关 键 词：股骨骨折 股骨头 关节成形术 置换 髋 

分 类 号：R687.3[医药卫生—骨科学]