骨水泥型与生物型半髋关节置换术治疗老年移位股骨颈骨折的疗效分析  

Cemented versus uncemented hemiarthroplasty for displaced femoral neck fractures in the elderly

作　　者：张清华[1] 张光武[1] 栗剑[1] 刘家帮[1] 阚金富 张昆[1] 李冬[1] 

机构地区：[1]北京大学首钢医院骨科,北京100144

出　　处：《临床和实验医学杂志》2015年第16期1380-1382,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的比较骨水泥型和生物型半髋关节置换术治疗老年移位股骨颈骨折的临床疗效。方法回顾性分析行半髋关节置换术治疗并获得随访的老年股骨颈骨折患者131例,其中骨水泥型半髋关节置换术63例,生物型半髋关节置换术68例,对两组患者的手术时间、出血量、术后引流量、术后卧床时间、并发症和术后Harris评分进行比较。结果两组患者均顺利完成手术,生物型半髋关节置换组手术时间少于骨水泥型组(P<0.05),骨水泥型组患者术中出血量、术后引流量、术后卧床时间均少于生物型关节置换组(P<0.05);骨水泥型组和生物型组患者不良反应发生率分别为12.7%和10.3%,术后1年Harris评分优良率分别为89.8%和91.3%,组间比较差异均无统计学意义(P>0.05)。结论对于老年移位股骨颈骨折患者,行骨水泥型和生物型半髋关节置换术后关节功能状况和不良反应发生率无明显统计学差异,均能获得良好的效果。Objective To evaluate curative effect of cemented and uncemented hemiarthroplasty for displaced femoral neck fractures in elderly patients. Methods Data of 131 femoral neck fracture elderly patients admitted into our hospital and performed hemiarthroplasty from Jun.2010 to Dec. 2012 were retrospectively analyzed. Among the 131 patients,a total of 63 patients（ 69 hips） were performed with cemented hemiarthroplasty. For comparison,68 patients（ 68 hips） were performed uncemented hemiarthroplasty. The comparative items included operation time,blood loss,postoperative drainage,ambulatory time,complication incidence,the Harris hip score after the operation. Results The operations were successful in all patients. The uncemented hemiarthroplasty group was found to have a significantly advantages of operation time（ P 0. 05）,and the cemented hemiarthroplasty group was found to have a significantly advantages of blood loss,postoperative drainage,ambulatory time（ P 0. 05）. Incidence of adverse reactions were 4. 7% and 5. 6% respectively（ P 0. 05）. Good rate of the Harris score were 89. 8% and 91. 3%respectively postoperative 1 year（ P 0. 05）. Conclusion Both cemented and uncemented hemiarthroplasty have good clinic effects for displaced femoral neck fractures in elderly patients.

关 键 词：老年人 股骨颈骨折 半髋关节置换术 骨水泥型 生物型 

分 类 号：R687.4[医药卫生—骨科学]