高龄股骨粗隆间骨折人工股骨头置换术5～9年随访研究  

Hemiarthroplasty in Intertrochanteric Fractures in Elderly Patients:5 to 9 Years Follow-up Result

作　　者：范少地[1] 吴国忠[1] 唐立虎 刘志恒[1] 白峰[1] 胡万华[1] 赵亮亮[1] 

机构地区：[1]解放军第451医院骨科,陕西西安710054

出　　处：《实用骨科杂志》2016年第11期970-972,988,共4页Journal of Practical Orthopaedics

摘　　要：目的观察高龄股骨粗隆间骨折人工股骨头置换术的中长期治疗效果。方法对46例高龄股骨粗隆间骨折采用人工股骨头置换术的患者进行了5-9年的中长期随访,观察髋关节功能、死亡率、死亡原因、X线表现等的改变。结果随访7年髋关节功能优良率可达70%以上,髋关节功能良好,死亡率50.0%。随访9年关节功能优良率52.2%,9年死亡率89.1%。随着随访时间延长,X线异常发生率越来越高。结论高龄股骨粗隆间骨折患者预期寿命短,采用人工股骨头置换术可获得良好的关节功能,是一种很好的治疗方法。Objective To evaluate the clinical results of the Hemiarthroplasty in intertrochanteric fracture in elderly patients with mid-term and long-term follow-up.Methods 46 elderly cases with intertrochanteric fracture treated by the Hemiarthroplasty were followed up for 5-9 years.The function of hip,reason and the rate of death and changes of X-ray were observed.Results 70% patients had good hip function and 50% patients died after 7 years follow-up.52.2% patients had good hip function and 89.1% patients died after 9 years follow-up.The X-ray had more changes after longer follow-up.Conclusion Hemiarthroplasty is a nice treating method in eld intertrochanteric fractures patients and has good hip function.

关 键 词：股骨粗隆间骨折 高龄 人工股骨头置换 中长期随访 

分 类 号：R683.42[医药卫生—骨科学]