骨水泥型长柄人工股骨头置换治疗老年人股骨粗隆间骨折的临床研究  

Bipolar Femoral Head Replacement with Bone Cement in the Treatment of Intertrochanteric Fractures in the Elderly Patients

作　　者：王巍[1] 徐春雨[2] 顾大伟[1] 王博[1] 殷国超[1] 

机构地区：[1]吉林油田总医院骨一科,中国吉林138000 [2]吉林油田总医院手术室,中国吉林138000

出　　处：《国际老年医学杂志》2017年第3期116-117,120,共3页International Journal of Geriatrics

摘　　要：目的探讨骨水泥型长柄双极股骨头置换治疗高龄患者股骨粗隆间骨折的临床疗效。方法39例股骨粗隆间骨折患者分别采用骨水泥型长柄双极股骨头置换术治疗，观察功能恢复情况及有无并发症的发生。结果手术过程顺利，无人工关节脱位、感染及下肢深静脉血栓形成等并发症。36例获得随访，随访时间8～20个月，平均13．3个月，无关节脱位，无人工假体松动、下沉及断裂情况发生。结论骨水泥长柄双极股骨头置换是老年股骨粗隆间骨折有效的治疗方法，可有效防止并发症的发生，临床效果满意。Objective To evaluate the clinical effect of bipolar femoral head replacement with bone cement in the treatment of intertrochanteric fractures in elderly patients. Methods 39 patients with femoral intertrochanteric fractures were treated with bone cement bipolar femoral head replacement and the functional recovery and the occurrence of complications were observed. Results There were no complications such as dislocation of artificial joint, infection and deep venous thrombosis of lower extremity. 36 cases were followed up for 8- 20 months, with the average of 13.3 months. There were no joint dislocation, artificial prosthesis loosening, sinking and fracture occurred. Conclusion Bone cement bipolar femoral head replacement is an effective treatment for intertrochan- teric fractures in the elderly, which can effectively prevent the occurrence of complications, the clinical effects are satisfactory.

关 键 词：股骨头置换术 粗隆间骨折 并发症 

分 类 号：R683.420.5[医药卫生—骨科学]