摘要
目的探讨双极人工股骨头置换术对于高龄股骨颈骨折患者的I临床治疗效果。方法对我院2009年3月至2011年2月收治的77例76岁以上的高龄股骨颈骨折的患者采用双极人工股骨头置换术治疗进行回顾性分析，总结其手术过程、术前术后的注意事项，并依据Harris评分评定髋关节功能标准对患者的临床治疗效果予以评测。结果77例高龄患者手术之后的切口愈合情况均为一期愈合，主要并发症包括骨质疏松10例，异位骨化1例，髋臼磨损5例，假体松动5例，肺部感染2例，发生静脉栓塞5例。平均随访1年以上，基本恢复伤前活动，生活自理。Harris评分骨水泥组24例平均得分（86．10±4．21）分；非骨水泥组53例平均得分（83．23±2．46）分。结论采用双极人工股骨头置换术治疗高龄患者股骨颈骨折疗效较好，明显降低高龄股骨颈骨折患者的病死率，并能大大提高其生活质量，严格术前评估和正确的手术操作是取得良好疗效的关键。
Objective To investigate the clinical application of bipolar prosthetic replacement of aged patients with femoral neck fracture. Methods A retrospective study was conducted and 77 hospitalized patients of aged over 76-years-old with femoral neck fracture hospitalized from March 2009 to February 2011 were selected as our subject, who underwent bipolar prosthetic replacement for the treatment. The information related to the operation procedures, preoperative and postoperative announcements were collected. The hips function by Harris Hip Score was used to assess clinical effectiveness of treatment. Results All subjects were showed with primary stage healing. The main complications included osteoporosis （10 cases ）, heterotopic ossification （1 case） , aeetabulum wear（5 cases ） , prosthesis looseness （ 5 cases ） , pulmonary infection （ 2 cases ） and deep vein thrombosis（5 cases）. All patients were follow-up for more than one year and all were showed in basic recovery activities compared with that of before the injury. The average score of Harris score in bone cement group 24 cases was （ 86. 10± 4. 21 ） , non bone cement group 53 cases was （ 83.23± 2.46 ） . Conclusion Bipolar prosthetic replacement for femoral neck fracture was an effective method in aged patients, which could significandy reduce the mortality of aged patients with femoral neck fracture, and improve life quality obviously. Strict preoperative evaluation and exaet microsurgical techniques were the key point regarding of obtaining excellent outcomes.
出处
《中国综合临床》
2013年第10期1095-1098,共4页
Clinical Medicine of China
关键词
高龄患者
股骨颈骨折
人工股骨头置换术
临床疗效
Aged patients
Femoral neck fracture
Bipolar prosthetic replacement
Clinical effect
