生物型加长柄半髋关节置换治疗高龄不稳定型股骨转子间骨折  

Cementless lengthened stem hip prosthetic hemiarthroplasty for elderly patients with unstable femoral intertrochanteric fracture

作　　者：梅晓亮[1] 张震祥[1] 唐炬[1] 朱伟[1] MEI Xiao-liang;ZHANG Zhen-xiang;TANG Ju;ZHU Wei(Dept of Orthopaedics,the People′s Hospital of Taizhou City,Taizhou,Jiangsu 225300,China)

机构地区：[1]泰州市人民医院骨科

出　　处：《临床骨科杂志》2019年第6期681-683,共3页Journal of Clinical Orthopaedics

基　　金：国家自然科学基金(编号:81401770)

摘　　要：目的探讨生物型加长柄半髋关节置换治疗高龄不稳定型股骨转子间骨折的临床疗效。方法对30例高龄不稳定型股骨转子间骨折患者使用生物型加长柄行半髋关节置换治疗。根据Harris髋关节功能评分标准评价疗效。结果患者均顺利完成手术,术后发生急性深静脉血栓1例,经积极治疗后恢复正常。30例均获得随访,时间3~24个月。无人工关节脱位、假体周围感染、假体松动等并发症发生。1例术后9个月死于肺部感染。末次随访按Harris髋关节功能评分标准评估疗效:优14例,良12例,一般3例,差1例,优良率86.7%。结论生物型加长柄半髋关节置换治疗高龄不稳定型股骨转子间骨折可缩短患者卧床时间,减少并发症发生,有利于康复,是一种安全有效的方法。Objective To investigate the clinical effect of cementless lengthened stem hip prosthetic hemiarthroplasty for elderly patients with unstable femoral intertrochanteric fractures.Methods Thirty cases with unstable femoral intertrochanteric fractures were treated by cementless lengthened stem hip prosthetic hemiarthroplasty.Harris hip score was used to evaluate the clinical efficacy.Results All patients were successfully operated.Acute deep venous thrombosis occurred in 1 case after operation,who returned to normal after symptomatic treatment.All of 30 patients were followed up for 3~24 months,no prosthesis loosening or infection and dislocation occurred at the end of follow-up.The 1 patient died of lung infection after 9 months.At the last follow-up,the efficacy was assessed according to Harris hip score:excellent in 14 cases,good in 12,fair in 3,poor in 1,the excellent and good rate was 86.7%.Conclusions Using cementless lengthened stem hip prosthetic hemiarthroplasty for treatment of the elderly patients with unstable femoral intertrochanteric fractures is a safe and effective method,which can shorten the time in bed,reduce the complications,is beneficial for the rehabilitation.

关 键 词：股骨转子间骨折 生物型加长柄髋关节置换 高龄 

分 类 号：R683.42[医药卫生—骨科学] R687.4[医药卫生—外科学]