人工股骨头置换治疗老年股骨颈骨折-骨水泥与非骨水泥型假体的比较  

Cemented versus uncemented hemiarthroplasty in the treatment of femoral neck fractures in elder patients

作　　者：陈瀛[1] 杨雨润[1] 刘守尧[2] 孙伟[3] 杨欢[1] 陈星佐[1] 林朋[1] CHEN Ying;YANG Yurun;LIU Shouyao;SUN Wei;YANG Huan;CHEN Xingzuo;LIN Peng(The Third Department of Orthopedics,China-Japan Friendship Hospital,Beijing 100029,China;Department of Chinese Medicine Surgery,China-Japan Friendship Hospital,Beijing 100029,China;The First Department of Orthopedics,China-Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]中日友好医院骨科三部,北京100029 [2]中日友好医院中医外科,北京100029 [3]中日友好医院骨科一部,北京100029

出　　处：《中国骨质疏松杂志》2018年第11期1480-1484,共5页Chinese Journal of Osteoporosis

基　　金：国家自然科学基金(81372013)

摘　　要：目的对比骨水泥型和非骨水泥型两种假体在治疗股骨颈骨折中的应用差别。方法回顾了本机构近3年65岁以上股骨颈骨折实施人工股骨头置换的病例共221例,按应用骨水泥型和非骨水泥型假体进行分组。随访时间为1、3、6、12个月。比较两组间的手术时间、出血量、并发症发生率、术后下地时间、髋关节Harris评分等。结果两组在手术时间、术中并发症及下地时间存在差异,出血量、输血量、术后并发症及功能评分无差异。结论两种假体都能很好的应用于股骨颈骨折的治疗,需注意围手术期并发症的发生。Objective To compare the functional outcomes between cemented and uncemented hemiarthroplasty in the .treatment of the elderlywith femoral neck fractures.Methods A total of 221 patients older than 65years with acute femoral neck fractures treated with hemiarthroplasty in the past 3 years were retrospectively studied.They were divided into groups according to the application of cemented or uncemented prosthesis.The follow-up was performed at 3,6,and 12 months after the operation.The operation time,,bleeding,complications,time to walk after surgery,and Harris hip score (HHS)were determined and compared between the groups.Results There were differences in mean operation time,intraoperative complications,and time to walk,but no differences in bleeding,complications,and HHS scores between the two groups.Conclusion Both prostheses maywell use in the treatment of femoral neck fractures.Attention should be paid in the perioperative complications.

关 键 词：人工股骨头置换 股骨颈骨折 水泥型 非水泥型 

分 类 号：R681[医药卫生—骨科学]