生物型人工股骨头在老年股骨转子间不稳定性骨折患者中的应用效果  

Application Effect of Biological Prosthetic Femoral Head in Elderly Patients with Unstable Femoral Intertrochanteric Fracture

作　　者：王宇[1] WANG Yu(Department of orthopaedics,Tianjin dongli hospital,Tianjin 300300)

机构地区：[1]天津市东丽医院骨科,天津300300

出　　处：《中国伤残医学》2024年第8期31-34,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探究生物型人工股骨头在老年股骨转子间不稳定性骨折患者中的应用效果.方法:选择2021年2月—2022年10月天津市东丽医院诊治的69例老年股骨转子间不稳定性骨折患者作为研究对象,随机将其分为生物型组(n=35)与骨水泥型组(n=34).所有患者都进行人工股骨头置换术治疗,骨水泥型组采用骨水泥假体进行固定,生物型组采用生物型假体进行固定,对比2组预后疗效.结果:2组的手术时间、术中出血量对比,组间差异无统计学意义(P>0.05).生物型组的术后住院时间、术后下床活动时间均短于骨水泥型组,生物型组并发症发生率为2.86%,低于骨水泥型组的17.65%,组间差异有统计学意义(P<0.05).术后14 d,2组血小板聚集指数、血浆比黏度均较术前升高,但生物型组低于骨水泥型组,差异有统计学意义(P<0.05).术后3、6个月,生物型组的Harris髋关节功能量表评分均高于骨水泥型组,组间差异有统计学意义(P<0.05).结论:相对于骨水泥假体,生物型应用于老年股骨转子间不稳定性骨折患者中不会增加对患者的手术时间与术中出血量,且能促进患者康复,能够减少术后并发症的发生,改善血流动力学指标及髋关节功能.Objective:To explore the application effect of biological prosthetic femoral head in elderly patients with unstable femoral intertrochanteric fracture.Methods:69 elderly patients with femoral intertrochanteric instability fractures diagnosed and treated in Tianjin Dongli Hospital from February 2021 to October 2022 were selected as the study objects,and randomly divided into a biological group(n=35)and a bone cement group(n=34).All patients were treated with artificial femoral head replacement.The bone cement group was fixed with bone cement prosthesis,and the biological group was fixed with biological prosthesis.The prognostic effect of the two groups was compared.Results:There were no significant differences in operation time and blood loss between the two groups(P>0.05).The length of hospital stay and time of getting out of bed after surgery in the biological group were shorter than those in the bone cement group,the incidence of complications in the biological group was 2.86%,which was lower than 17.65%in the bone cement group,and the differences were statistically significant between the two group(P<0.05).14 d after surgery,the platelet aggregation index and plasma specific viscosity in two groups were higher than before surgery,but the biological group was lower than the bone cement group,the differences were statistically significant(P<0.05).3 and 6 months after surgery,the Harris hip Function Scale scores of the biological group were higher than those of the bone cement group,and the differences were statistically significant between the two group(P<0.05).Conclusion:Compared with bone cement prosthesis,the application of biotype in elderly patients with unstable femoral intertrochanteric fractures does not increase the operative time and intraoperative blood loss,and can promote the recovery of patients,reduce the occurrence of postoperative complications,improve hemodynamic indexes and hip joint function.

关 键 词：股骨转子间不稳定性骨折 骨水泥假体 生物型假体 人工股骨头置换 老年人 血流动力学 

分 类 号：R687.3[医药卫生—骨科学]