摘要
目的：评价围手术期合理治疗及人工全髋关节置换用于老年性股骨粗隆间骨折内固定术后并发症的疗效。方法：收集2008年1月-2012年1月救治于我院股骨粗隆间骨折的老年患者共112例,其中12例患者内固定术后失败需要翻修,所有患者充分的围手术期准备后行人工关节置换术。结果：所有患者均获得12个月以上的随访,未出现患者因并发症而发生死亡。手术前后髋关节功能情况按Harris评分标准进行评定,术前42-57分,术后末次随访提高到84-93分,优7、良3、可2、差0,优良率（83.3%）。末次随访假体位置良好,未发现假体松动、下沉等不良情况。结论：人工关节置换术大大减少了骨折不愈合或畸形愈合、髋内翻畸形等并发症；充分合理的围手术期准备及人工关节置换术用于老年性粗隆间骨折内固定术后失败的患者效果好,值得推广。
Objective：To analyze the efficacy of artificial hip joint and peri operation period reasonable treatment for the failure internal fixation of the femoral intertrochanteric fracture in elderly patients.Methods：A retrospective study of 112 patients with femoral intertrochanteric fractures treated in our hospital from January 2008 to January 2012 was made.Among them 12 patients after internal fixation failure in need of revision.All patients were fully enclosed operation preparation after artificial joint replacement.Results：All cases had been followed up for over 12 months and no one had been died from complicated. the function of the hip joint was evaluated by Harris assessment system：preoperative42-57,after operation84-93.The excellent and good rate （83.3%）.The last follow-up prosthesis position is good, no prosthesis loosening, subsidence and other adverse conditions found.Conclusion：Artificial joint replacement greatly reduces the nonunion or malunion, coxa vara complication of fracture;Sufficient and reasonable operation period of preparation and artificial joint replacement for senile intertrochanteric fracture after internal fixation failure in patients with good effect, worthy of promotion.
出处
《中国医药导刊》
2014年第5期741-742,744,共3页
Chinese Journal of Medicinal Guide
关键词
围手术期治疗
关节置换
股骨粗隆间骨折
老年性
Peri-operation period treatment
Artificial joint replacement
Femoral intertrochanteric fracture
Senile
