人工关节置换治疗高龄股骨转子间粉碎性骨折  

Alloarthroplasty for treatment of comminuted intertrochanteric fracture in aged patients

作　　者：王霁[1] 隆晓涛[1] 杨阜滨[1] 

机构地区：[1]重庆市中山医院骨科,400013

出　　处：《重庆医学》2013年第20期2356-2358,共3页Chongqing medicine

摘　　要：目的探讨人工关节置换治疗高龄股骨转子间粉碎性骨折的疗效。方法回顾性分析2007～2011年该院关节外科收治的187例经人工关节置换治疗的高龄股骨转子间粉碎性骨折患者资料,术后根据Harris评分评价患髋关节功能。结果围术期患者死亡1例,术后186例获随访。Harris评分为45～96分,平均81.5分。其中优51例,良98例,优良率80.1%。165例患者在术后3个月的行走能力和生活自理能力均基本恢复至伤前水平。结论关节置换作为股骨转子间粉碎性骨折治疗方法的一种有效补充,能有效地提高高龄患者的生命质量、降低并发症发生率和病死率。Objective To discuss the clinical effects of comminuted intertrochanteric fracture by alloarthroplasty in aged pa- tients. Methods 187 cases with intertrochanteric fracture treated by alloarthroplasty in Zhongshan Hospital from 2007 to 2011 were analyzed and the function of the hip joint was evaluated by Harris score. Results During preoperative period,one patient was dead and 186 cases were followed up. Harris score was 45 to 96 （average 81.5） ,with 51 cases excellent and 98 cases good. The ac- ceptance rate was 80.1% 165 cases recovered to good condition after 3 months. Conclusion Replacement arthroplasty is effective on intertrochanteric fracture, which has significant effects on reduction of complication rate and fatality rate and improvement of pa- tients＇ living condition.

关 键 词：股骨转子间骨折 关节置换 高龄 

分 类 号：R687.3[医药卫生—骨科学]