摘要
目的:探讨人工关节置换治疗高龄骨质疏松性股骨粗隆间不稳定骨折的方法及疗效。方法:在生理学与手术严重程度评分系统(POSSUM)协同下应用长柄双极人工股骨头置换治疗高龄骨质疏松性不稳定粗隆间骨折37例。骨折类型按Evans-Jenson分类,ⅢA:13例,ⅢB:16例,Ⅳ:8例。结果:本组患者术后切口均I期愈合,并发症发生率与POSSUM预测一致。34例患者均获得随访,平均随访时间15个月(12～24个月)。术后12个月Harris髋关节评分,优良率83.78%。结论:POSSUM评分系统协同下应用人工股骨头置换治疗高龄患者股骨粗隆间不稳定骨折是一种安全有效的方法。
Objective：To explore artificial joint replacement therapy osteoporotic age patients intertrochanteric unstable fractures method and curative effect. Methods：In physiology and surgical severity rating system（POSSUM）with the application long handle artificial thigh bone replacement therapy bipolar older osteoporotic instability thick long 37 cases between fracture. The fracture types Evans - Jenson classification, according to Ⅲ A： 13 cases, Ⅲ B： 16 cases, Ⅳ： 8 cases. Results：All patients were postoperative incision stage I heal, complications and POSSUM forecast. 34 patients were followed up, get a mean follow-up 15 months （12 ～ 24 months）. 12 months after the 83.78% Harris hip score, dykes.Conclusion：POSSUM scoring system using artificial with age patients femoral replacement therapy intertrochanteric unstable fractures might be a safe and effective method.
出处
《中国伤残医学》
2011年第12期1-3,共3页
Chinese Journal of Trauma and Disability Medicine
