人工双动股骨头置换治疗老年股骨粗隆间骨折(附18例报告)  

Treatment of elderly patients with intertrochanteric fracture by replacement of artificial bipolar femoral head( 18 case reports attached)

作　　者：杨志勇[1] 王开明[1] 张庆[1] 

机构地区：[1]安徽省蚌埠市第三人民医院骨科,233000

出　　处：《淮海医药》2015年第2期141-142,共2页Journal of Huaihai Medicine

摘　　要：目的观察70岁以上高龄股骨粗隆间骨折患者采用人工双动股骨头置换术的疗效。方法对2013年9月-2014年10月行人工关节置换术治疗的18例69岁以上股骨粗隆间骨折患者资料进行回顾性分析。患者年龄69-92岁,平均年龄82岁。随访期限3-12个月,平均年龄9个月。应用Harris评分标准进行结果评价。结果患者均在术后2周内下地负重行走,髋关节功能接近伤前水平,生活基本能够自理。髋关节功能按Harris评分：术前为80-90（85±4）分;术后为85-95（89±3）分。结论高龄股骨粗隆间骨折患者行人工双动股骨头置换术治疗,具有创伤小、手术时间短、卧床并发症减少、髋关节功能恢复快等优点,是一种比较理想的治疗手段。Objective To discuss the effects of arthroplasty for the treatment of intertrochanteric fracture in elderly people over 69 years old. Methods Totally 18 elderly patients with intertrochanteric fractures treated during Septermber 2013 to October 2014 were retrospectively analyzed. The average age was 82 years old（ ranging from 69 to 92）. The average duration of follow-up was 9 months（ ranging from 3 to 12 months）. The function of hip was evaluated with Harris system. Results The function of hip joints was satisfactory,and the patients could take care of themselves. The pre-operation Harris scores were 80- 90（ average 85 ± 4）,and post-operation scores were 85 - 95（ average 89 ± 3）. Conclusion The method of arthroplasty is rather ideal for the treatment of intertrochanteric fracture with such advantages as a small surgical wound,shortened operation time,lower complication rate from lying in bed and quick functional recovery.

关 键 词：股骨粗隆间骨折 人工双动股骨头置换 老年人 

分 类 号：R683.42[医药卫生—骨科学]