半髋和全髋关节置换术治疗老年移位性股骨颈骨折的10年随访疗效比较  

Comparison efficacy of hemiarthroplasty and total hip arthroplasty for treatment of the displaced femoral neck fracture in the elderly at ten-year follow-up

作　　者：唐原 袁红燕 夏亚一[2] TANG Yuan;YUAN Hong-yan;XIA Ya-yi(Dept of Orthopaedics,Dingxi People′s Hospital,Dingxi,Gansu 730400,China;Dept of Orthopaedics,the Second Hospital of Lanzhou University,Lanzhou,Gansu 730000,China)

机构地区：[1]定西市人民医院骨科,甘肃定西730400 [2]兰州大学第二医院骨科,甘肃兰州730000

出　　处：《临床骨科杂志》2025年第2期183-186,共4页Journal of Clinical Orthopaedics

摘　　要：目的比较半髋关节置换术(HA)和全髋关节置换术(THA)治疗老年移位性股骨颈骨折的10年随访疗效。方法将48例老年移位性股骨颈骨折患者按照手术方式不同分为HA组(采用HA治疗,30例)和THA组(采用THA治疗,18例)。比较两组术中出血量、手术时间、改良髋关节Harris评分(MHHS评分)。结果患者均获得10年随访。术中出血量、手术时间HA组少(短)于THA组(P<0.05)。术后10年随访期间,两组均无假体脱位、翻修等情况发生。术后10年,MHHS评分的疼痛、功能、活动分项及总评分两组比较差异均无统计学意义(P>0.05);两组患者均可拄拐缓慢行走。结论HA和THA治疗老年移位性股骨颈骨折,虽然HA在术中出血量、手术时间方面有优势,但从髋关节功能恢复的长期效果来看两种术式没有差异。Objective To compare the 10-year follow-up efficacy of hemiarthroplasty(HA)and total hip arthroplasty(THA)on the displaced femoral neck fracture in the elderly.Methods Forty-eight elderly patients with displaced femoral neck fractures were divided into HA group(30 cases were treated with HA)and THA group(18 cases were treated with THA),according to different surgical procedures.The intraoperative blood loss,operative time,and modified Harris hip scores(MHHS)were compared between the two groups.Results All patients were followed up for 10 years.The intraoperative blood loss and operation time in the HA group were less(shorter)than those in the THA group(P<0.05).During the ten-year follow-up period,no postoperative situation such as prostheses dislocation or revision occurred in both groups.At 10 years after surgery,there were no statistical differences in pain,function,activity and total scores of MHHS between the two groups(P>0.05).The patients of both groups could walk slowly with crutches.Conclusions For treatment of elderly displaced femoral neck fracture with HA and THA,although HA has advantages in intraoperative bleeding volume and surgical time,there is no difference between the two procedures from the long-term effect of hip function recovery.

关 键 词：移位性股骨颈骨折 半髋关节置换术 全髋关节置换术 老年人 

分 类 号：R683.42[医药卫生—骨科学] R687.4[医药卫生—外科学]