摘要
目的探讨高龄不稳定性股骨粗隆间骨折患者采取直接前入路人工股骨头置换术治疗的效果。方法随机选取靖江市人民医院于2019年1月—2023年10月收治的60例不稳定性股骨粗隆间骨折高龄患者为研究对象,按照随机抽签方式分为对照组和观察组,每组30例。对照组采取保守治疗,观察组采取直接前入路人工股骨头置换术治疗。对比两组患者近期临床疗效,治疗前后髋关节功能及日常生活能力。结果观察组近期治疗总有效率为100.00%,高于对照组的80.00%,差异有统计学意义(χ^(2)=4.630,P<0.05)。观察组髋关节评分及日常生活能力评分高于对照组,差异有统计学意义(P均<0.05)。结论临床治疗不稳定性股骨粗隆间骨折的高龄患者可选直接前入路人工股骨头置换术方式,相比保守治疗近期效果更理想,可以有效促进患者髋关节功能的恢复。
Objective To investigate the effect of artificial femoral head replacement with direct anterior approach in elderly patients with unstable femoral intertrochanteric fractures.Methods A total of 60 elderly patients with unstable intertrochanteric fractures admitted to Jingjiang People's Hospital from January 2019 to October 2023 were selected randomly as the research objects.They were divided into control group and observation group according to random drawing method,with 30 cases in each group.The control group was treated with conservative treatment,and the observation group was treated with direct anterior approach artificial femoral head replacement.The short-term clinical efficacy,hip joint function and daily living ability before and after treatment were compared between the two groups.Results The total effective rate of recent treatment in the observation group was 100.00%higher than that in the control group 80.00%,and the difference was statistically significant(χ^(2)=4.630,P<0.05).The scores of hip joint function and daily living ability in the observation group were higher than those in the control group,and the differences were statistically significant(both P<0.05).Conclusion In the clinical treatment of unstable intertrochanteric fracture of femur and elderly patients,direct anterior approach artificial femoral head replacement can be preferred.Compared with conservative treatment,the short-term effect is more ideal,effectively promote the recovery of hip function in patients.
作者
张柏江
ZHANG Baijiang(Department of Orthopaedic Surgery,Jingjiang People's Hospital,Jingjiang,Jiangsu Province,214500 China)
出处
《中外医疗》
2024年第8期89-92,共4页
China & Foreign Medical Treatment
关键词
高龄
不稳定性股骨粗隆间骨折
直接前入路
人工股骨头置换
Elerly
Unstable femoral intertrochanteric fracture
Direct anterior approach
Artificial femoral head replacement
