人工关节置换治疗老年人卒中后偏瘫侧股骨颈骨折  

Prosthetic replacement in elderly with femoral neck fracture of hemiplegic extremity

作　　者：周伟[1,2] 倪江东[1] 贺学军[2] 易惠军[2] 

机构地区：[1]中南大学湘雅二医院骨科,湖南长沙410011 [2]湖南省马王堆医院骨科

出　　处：《中国伤残医学》2014年第4期6-8,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：观察和分析人工关节置换治疗脑卒中患者偏瘫侧股骨颈骨折的疗效和方法。方法：自2010年6月～2012年6月，我院采用人工关节置换术治疗老年人脑卒中患者偏瘫侧股骨颈骨折 GardenⅢ、Ⅳ型37例，随访10个月-34个月，平均20个月，观察手术前后harris评分，同时按其内容分为疼痛、功能、关节活动度、肢体畸形四方面分别进行评分。结果：患者harris评分由术前的（14．61±6．51）分恢复到术后末次随访时的（81．13±8．76）分。患者术后评分明显高于前者，而且疼痛、功能、关节活动度、肢体畸形各项目术前术后评定均差异显著。结论：人工关节置换治疗老年人卒中后偏瘫侧股骨颈骨折是安全有效的方法，在缓解疼痛、改善功能等各方面效果显著。Objective：To study the curative of prosthetic replacement in the elderly with femoral neck fracture of the hemiplegic ex -tremity.Methods：From June 2010 to June 2012,37 cases of the femoral neck fracture （Garden typeⅢand typeⅣ） of the hemiplegic ex-tremity were treated by prosthetic replacement .All the cases were followed up , the follow-up time was from 10 months to 34 months, av-eraging 20 months.The curative effects were evaluated by harris hip score .The harris hip scores before and after operation was observed , at the same time, according to its content was divided into pain , function, degree of motion, limb deformities four aspects to rate respec-tively.Resulst ：The average harris hip score improved from 14.61 ±6.51 point preoperatively to 81.13 ±8.76 point at the last follow -up.Patients with postoperative scores were significantly higher than the former , and pain, function, degree of motion, limb deformities preoperative postoperative evaluation of the project were significant difference .Conclusion：Prosthetic replacement in the treatment of the elderly with femoral neck fracture of the hemiplegic extremity might be safe and effective method .

关 键 词：关节成形术 置换 髋 股骨颈骨折 偏瘫 

分 类 号：R743[医药卫生—神经病学与精神病学]