两种全髋关节置换方式治疗老年移位性股骨颈骨折的临床比较  

Clinical comparison of two total hip replacement methods for treating displaced femoral neck fractures in elderly patients

作　　者：井剑锋 刘腾飞 张永松 Jing Jian-feng;Liu Teng-fei;Zhang Yong-song(Department of Orthopedics,Shangcai People's Hospital,Zhumadian 463800,Henan,China)

机构地区：[1]上蔡县人民医院骨科,河南驻马店463800

出　　处：《四川生理科学杂志》2025年第4期834-837,共4页

摘　　要：目的:对比双动和普通全髋关节置换术对老年移位性股骨颈骨折的治疗效果。方法:回顾性收集2021年12月至2023年12月期间于本院医治的99例老年移位性股骨颈骨折患者的临床资料,按照不同治疗方式分为对照组(n=49,普通全髋关节置换)和研究组(n=50,双动全髋关节置换术)。术后1 m、3 m,比较两组围术期指标、并发症,采用Harris髋关节功能量表(Harris Hip score,HHS)评定患者髋关节功能,以欧洲五维健康量表(European quality of life-five dimension scale,EQ-5D)评估生活质量,以疼痛数字评价表(Visual Analogue Scale,VAS)测定疼痛程度,以X线检查并测量髋关节内外旋活动度、联合前倾角、内外展活动度、屈伸活动度。结果:相较于对照组,研究组的手术时间、住院时间、首次下床活动时间及完全负重时间均显著缩短,出血量显著减少(P<0.05)。术前以及术后1 m,两组的髋关节功能评分均无显著差异。术后3 m、术后6 m,两组的髋关节功能评分均显著高于术前1 m;并且研究组术后3 m、术后6 m的髋关节功能评分均显著高于对照组(P<0.05)。术后3 m、术后6 m,两组的髋关节活动度呈上升趋势,且研究组的各项髋关节活动度评分均显著高于对照组(P<0.05)。术后3m,研究组的生活质量评分显著高于对照组(P<0.05)。术后1 m,研究组的疼痛评分显著低于对照组(P<0.05)。两组的并发症发生率无显著差异(P>0.05)。结论:双动全髋关节置换术能促进髋关节功能及其活动度快速恢复,改善患者生活质量。Objective:To compare the therapeutic effects of double-action and conventional total hip arthroplasty on displaced femoral neck fractures in elderly patients.Methods:The clinical data of 99 elderly patients with displaced femoral neck fractures treated in our hospital from December 2021 to December 2023 were retrospectively collected.These patients were divided into a control group(n=49,receiving conventional total hip arthroplasty)and a study group(n=50,undergoing double-action total hip arthroplasty)based on different treatment methods.At 1 and 3 months after surgery,perioperative indicators and complications were compared between the two groups.Harris Hip Score(HHS)was used to assess hip joint function,the European Quality of Life-Five Dimension Scale(EQ-5D)was used to evaluate quality of life,Visual Analogue Scale(VAS)was used to measure pain intensity,and X-ray examination was conducted to measure internal and external rotation range of motion,combined anteversion angle,internal and external abduction range of motion,and flexion-extension range of motion of the hip joint.Results:Compared to the control group,the study group exhibited significantly shorter operation duration,hospitalization duration,time to first ambulation,and time to full weight-bearing,as well as significantly reduced blood loss(P<0.05).There were no significant differences in hip joint function scores between the two groups before and one year after.At three and six years after surgery,the hip joint function scores of both groups were significantly higher than those one year before surgery;furthermore,the hip joint function scores of the study group at three and six years after surgery were significantly higher than those of the control group(P<0.05).At three and six years after surgery,the hip joint mobility scores of both groups showed an upward trend,and the hip joint mobility scores of the study group were significantly higher than those of the control group(P<0.05).At three years after surgery,the quality of life scores of the study

关 键 词：疼痛程度 移位性 股骨颈骨折 髋关节功能 全髋关节置换术 

分 类 号：R687.3[医药卫生—骨科学]