摘要
【目的】探讨全髋置换术治疗中年陈旧性股骨颈骨折伴股骨头缺血坏死的手术技巧和临床疗效。【方法】对34例陈旧性股骨颈骨折伴股骨头缺血性坏死的中年患者进行全髋置换术。【结果】随访30～82个月，平均54个月，根据Harris髋关节评分标准，术前平均（35．4±7．3）分，术后1年平均（87．2±10．2）分，术后2年平均（87．1士10．3）分。术后第54（30～82）个月随访Harris髋关节评分，优18例，良14例，中2例，优良率达94．1％。并发症包括术中股骨近端骨折1例，术后髋关节脱位和异位骨化各1例。【结论】全髋置换术能有效缓解患者疼痛，迅速恢复髋关节功能，近期随访手术效果良好，并发症较少，是伴有股骨头缺血坏死的中年陈旧性股骨颈骨折的一种可行的治疗方式，但仍需要大样本的长期随访结果来进一步证实。
[Objective]To explore the efficacy and surgical technique of total hip arthroplasty for old femoral neck fracture complicated with avascular necrosis of femoral head in middle-aged patients. [Methods] Thirty-four middle-aged patients of old femoral neck fracture with avascular necrosis of femoral head were treated with total hip arthroplasty. [Results] After a mean follow-up of 54 months （ranged 30～82 months）, the average Harris hip scores before operation, at 1 year and at 2 years after operation were 35.4±7.3, 87.2±10. 2 and 87.1± 10.3, respectively. The follow-up results showed that 18 cases were excellent, 14 good and 2 fair according Harris Hip Score standard. The good and excellent rate was 94.1%. The complications included intraoperative femoral fracture （1 case）, dislocation （1 case） and heterotopic ossification （1 case）. [Conclusion] Total hip arthroplasty can relieve pain and recover hip function rapidly, which is a viable treatment for old fern oral neck fracture with avascular necrosis of femoral head in middl-aged patients, but a large-sample and longterm follow-up is required to confirm these findings.
出处
《医学临床研究》
CAS
2009年第11期2006-2008,共3页
Journal of Clinical Research
