摘要
目的探讨中老年伴有脑功能障碍的股骨颈骨折患者行人工髋关节置换治疗的疗效。方法回顾分析本科于2000年1月～2008年12月收治的伴有脑功能障碍的股骨颈骨折行人工髋关节置换手术治疗的43例临床资料。结果本组有38例在术后3～21天扶拐下地活动,平均8天,有5例在住院期间未能恢复下地活动;术后1例死亡,3例髋关节假体在术后4周内脱位,2例出现假体周围骨折。本组病例有20例得到随访,随访时间为6个月～6年,平均2年7个月,术后2～6个月患肢功能逐渐恢复至近似于术前的功能状态。结论伴有脑功能障碍的股骨颈骨折患者行人工髋关节置换是可行的,是恢复髋关节功能、减少卧床并发症的较好治疗方法;但其并发症、不满意度、死亡发生率均比一般人群要高,髋关节的功能会随着患者脑功能障碍的进展而逐渐减退,临床治疗上应作好充分评诂。
Objective To discuss the effect of hip arthroplasty in treating middle-aged and elderly patients with cerebral dysfunction and femoral neck fracture.Methods The data of 43 patients treated in our department from Jan.2000 to Dec.2008 were retrospectively analyzed.The patients suffered from cerebral dysfunction and femoral neck fracture were treated with hip arthroplasty.Results Totally 38 patients walked with crutches 3-21 days postoperatively,averaging 8 days;5 patients couldn＇t walk during hospitalization.There were 3 dislocations within 4 weeks postoperatively,2 periprothesis fractures,and 1 death.Twenty patients were followed up,with the follow-up of 6 months to 6 years,averaging 2 years and 7 months.The function of the affected limbs recovered approximately to the level preoperatively,decreased in the later stage due to the cerebral dysfunction progress.Conclusion Hip arthroplasty for treating middle-aged and elderly patients with cerebral dysfunction and femoral neck fracture is feasible which is a good therapy to restore hip function,decrease complications due to long bed time.The rates of complications,unsatisfaction and death are high,so it must be thoroughly assessed before clinical treatment.
出处
《创伤外科杂志》
2010年第3期225-227,共3页
Journal of Traumatic Surgery
关键词
脑功能障碍
股骨颈骨折
髋关节置换
cerebral dysfunction
femoral neck fracture
total hip replacement
