人工股骨头置换治疗老年股骨粗隆间骨折的疗效观察  

Hemiarthroplasty for the elderly with intertrochanteric femoral fractures: an observation

作　　者：屈波[1] 康夏[1] 伍红桦[1] 张波[1] 邓少林[1] 范凌[1] 蒋凯[1] 潘显明[1] 

机构地区：[1]成都军区总医院骨科,成都610083

出　　处：《军事医学》2013年第11期861-863,共3页Military Medical Sciences

摘　　要：目的：探讨股骨头置换术治疗老年股骨粗隆间骨折的疗效。方法对38例股骨粗隆间骨折给予人工股骨头置换术及35例给予切开复位动力髋螺钉（ DHS）钢板内固定术治疗的患者进行随访观察，比较手术时间、术中出血量、术后引流量、术后卧床时间、住院时间等指标；根据Harris评分标准，评定术后随访效果。结果平均随访时间18个月（12～36个月），人工股骨头置换术相对于切开复位动力髋钢板内固定术术后下床活动时间早，并发症少，且骨折复位良好，优良率达94．7％。结论对于股骨粗隆间骨折的患者，人工股骨头置换术具有很好的疗效，可减少术后并发症的发生。Objective To investigate the effect of femoral head replacement for the treatment of intertrochanteric frac -tures among elderly patients .Method There were 38 cases that received intertrochanteric fracture hemiarthroplasty and 35 patients were treated with open reduction and dynamic hip screw （ DHS） plate internal fixation .After follow-up, their opera-tion duration,blood loss, postoperative drainage flow , postoperative ambulation time , hospitalization time were compared according to the Harris score to assess the effect of postoperative follow-up.Results After the mean follow-up time of 18 months （12 to 36 months）,the hemiarthroplasty group was superior to the open reduction and DHS plate fixation group ,as shown by the earlier postoperative ambulation time , fewer complications , and better fracture reduction , with an excellent rate of 94 .7%.Conclusion For patients with intertrochanteric fractures , hemiarthroplasty surgery is effective and can re-duce the incidence of postoperative complications .

关 键 词：股骨粗隆间骨折 关节成形术 置换 髋 髋假体 骨质疏松 

分 类 号：R687.3[医药卫生—骨科学]