双动全髋关节置换治疗老年股骨颈骨折疗效观察  

Observation on the Curative Effect of Dual Mobility Total Hip Replacement in the Treatment of Femoral Neck Fracture in Elderly Patients

作　　者：李伟丰[1] Li Weifeng(Department of Orthopedics,Jiyuan Municipal People’s Hospital,Jiyuan City,Henan 459000,China)

机构地区：[1]济源市人民医院骨科,河南济源459000

出　　处：《中国烧伤创疡杂志》2021年第2期140-143,共4页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：目的探讨双动全髋关节置换术治疗老年股骨颈骨折的近期及远期疗效。方法选取2016年1月至2017年12月济源市人民医院收治的60例老年股骨颈骨折患者作为研究对象,并按照随机数表法将其随机分为研究组(30例)与对照组(30例),研究组患者采用双动全髋关节置换术治疗,对照组患者采用传统全髋关节置换术治疗,对比两组患者手术时间、术中出血量、术后下床时间、术后并发症发生情况以及髋关节功能恢复情况。结果研究组患者的手术时间及术后下床时间均明显短于对照组(t=3.854、2.731,P <0.001、P=0.008),术中出血量明显少于对照组(t=25.360,P<0.001);研究组患者术后出现感染1例,并发症发生率为3.3%,明显低于对照组患者的术后出现感染3例、关节脱出2例、下肢深静脉血栓1例,并发症发生率20.0%(χ^(2)=4.043,P=0.044);术后3、6、12、24个月,研究组患者Harris评分均明显高于对照组(t=2.731、4.177、5.184、7.669,P=0.008、P<0.001、P<0.001、P<0.001)。结论双动全髋关节置换术在老年股骨颈骨折患者的治疗中具有明显优势,可显著缩短手术时间,降低并发症发生率,提高髋关节功能,疗效明显优于传统全髋关节置换术。Objective To investigate the short-term and long-term curative effect of dual mobility total hip replacement in the treatment of femoral neck fracture in elderly patients.Methods Sixty elderly patients with femoral neck fractures,admitted to Jiyuan Municipal People’s Hospital from January 2016 to December 2017,were selected as the research subjects to be divided,according to the random number table,into a study group(30 cases)and a control group(30 cases).Patients in the study group were treated with dual mobility total hip replacement while patients in the control group were treated with traditional total hip replacement.The surgery time,intraoperative blood loss,time for early ambulation,postoperative complications and recovery condition of hip joint function were compared between the two groups.Results The surgery time and time for early ambulation in the study group were significantly shorter than that in the control group(t=3.854,2.731,P<0.001,P=0.008),and the intraoperative blood loss was significantly less than that in the control group(t=25.360,P<0.001).One case developed infection after operation in the study group with the incidence of complication being 3.3%,which was significantly lower than 20.0%in the control group with 3 cases developed infection,2 cases joint prolapse and 1 case deep vein thrombosis in lower limbs(χ^(2)=4.043,P=0.044).In month 3,6,12,and 24 after operation,the Harris scores of patients in the study group were all significantly higher than that in the control group(t=2.731,4.177,5.184,7.669,P=0.008,P<0.001,P<0.001,P<0.001).Conclusion Dual mobility total hip replacement has its own advantages in the treatment of femoral neck fracture in elderly patients,for example,markedly shortening the surgery time,reducing the incidence of complications,and improving hip function,etc.,presenting a much better curative effect as compared with the traditional total hip replacement.

关 键 词：双动全髋关节置换术 股骨颈骨折 老年 髋关节功能 HARRIS评分 

分 类 号：R687.4[医药卫生—骨科学]