生物型加长柄人工股骨头置换治疗高龄不稳定股骨粗隆间骨折的疗效分析  

Clinical analysis of the treatment of unstable intertrochanteric fractures of the femur in elderly patients with biological extended stem hemiarthroplasty

作　　者：秦俊[1] 谭杨[1] 陈廖斌[1] QIN Jun;TAN Yang;CHEN Liaobin(Division of Joint Surgery and Sports Medicine,Department of Orthopedic Surgery,Zhongnan Hospital of Wuhan University,Wuhan 430071,China)

机构地区：[1]武汉大学中南医院关节与运动医学科,430071

出　　处：《临床外科杂志》2023年第8期752-755,共4页Journal of Clinical Surgery

基　　金：湖北省自然科学基金一般面上项目(2022CFB166)。

摘　　要：目的 探讨高龄不稳定股骨粗隆间骨折病人行生物型加长柄人工股骨头置换术的疗效。方法 2018年2月~2023年2月期间采用生物型加长柄人工股骨头置换术治疗高龄不稳定股骨粗隆间骨折病人80例,采用Harris评分表对髋关节功能进行疗效评价。结果 80例病人均获得随访,随访时间平均10.3个月(6~22),术后6个月髋关节功能恢复按Harris评分平均85.6分(72~94),其中优良42例,较好28例,尚可10例,良好率达87.5%。结论 选用生物型加长柄人工股骨头置换术治疗高龄不稳定股骨粗隆间骨折,术后康复快,可早期下床负重,减少长期卧床的各种并发症,获得良好的关节功能。Objective To investigate the efficacy of biological extended stem hemiarthroplasty for elderly patients with unstable intertrochanteric fractures of the femur.Methods A retrospective analysis was conducted on 80 elderly patients with unstable intertrochanteric fractures of the femur treated with biological extended stem hemiarthroplasty from February 2018 to February 2023.The Harris score was used to evaluate the efficacy of hip joint function.Results All 80 cases were followed up for an average follow-up time of 10.3(6-22) months.After 6 months of surgery,the hip joint function recovered according to Harris score with an average score of 85.6(72-94).Among them,42 cases were excellent,28 cases were good,and 10 cases were still good,with a good rate of 87.5%.Conclusions The selection of biological extended stem hemiarthroplasty for the treatment of unstable intertrochanteric fractures of the femur in elderly patients has the advantage of fast postoperative recovery,early weight bearing,reduced various complications of long-term bed rest,and achieved good joint function.

关 键 词：人工股骨头置换 生物型加长柄 股骨粗隆间骨折 高龄 不稳定骨折 

分 类 号：R687.3[医药卫生—骨科学]