改良Hardinge入路髋关节置换术治疗股骨颈骨折疗效及安全性分析  

Efficacy and safety analysis of modified Hardinge approach for hip replacement of femoral neck fracture

作　　者：郭伟杰[1] Guo Wei-jie(Department of Spine Surgery,The First People's Hospital of Shangqiu,Shangqiu 476100,Henan,China)

机构地区：[1]商丘市第一人民医院脊柱外科,河南商丘476100

出　　处：《四川生理科学杂志》2024年第2期455-457,共3页Sichuan Journal of Physiological Sciences

摘　　要：目的:探讨改良Hardinge入路髋关节置换术治疗股骨颈骨折的疗效及安全性。方法:随机将2019年4月至2023年1月本院收治的75例股骨颈骨折患者分为对照组(37例)和观察组(38例)。对照组给予传统后外侧入路治疗,观察组给予改良Hardinge入路治疗。分析比较两组疗效、髋关节功能以及术后并发症。结果:对照组治疗总有效率显著低于观察组(P<0.05)。对照组术后1 m、3 m髋关节功能Harris评分均显著低于观察组(P<0.05)。术后3 m内,对照组术后并发症发生率明显高于观察组(P<0.05)。结论:股骨颈骨折采用改良Hardinge入路髋关节置换术治疗的疗效显著,有利于患者髋关节功能恢复,且安全性高。Objective:To evaluate the efficacy and safety of modified Hardinge approach for hip replacement of femoral neck fracture.Methods:75 patients with femoral neck fracture admitted to our hospital from April 2019 to January 2023 were randomly divided into control group(37 cases)and observation group(38 cases).The control group received traditional posterolateral approach,and the observation group received modified Hardinge approach.The efficacy,hip function and postoperative complications of the two groups were analyzed and compared.Results:The total effective rate of control group was significantly lower than that of observation group(P<0.05).The Harris score of hip function in control group 1 month and 3 months after operation was significantly lower than that in observation group(P<0.05).The incidence of postoperative complications in the control group was significantly higher than that in the observation group 3 months after operation(P<0.05).Conclusion:Modified Hardinge approach for hip replacement of femoral neck fracture is effective,beneficial to the recovery of hip function,and has high safety.

关 键 词：改良HARDINGE入路 髋关节置换术 股骨颈骨折 

分 类 号：R687.3[医药卫生—骨科学]