摘要
对于GardenⅠ、Ⅱ型老年股骨颈骨折患者,内固定疗效令人满意;而对于GardenⅢ、Ⅳ型者,特别是65岁以上患者,关节置换术则成为必要。由于治疗效果好,且创伤小、价格相对较低,对于发展中国家,股骨头置换,特别是双极股骨头置换也许为较好选择。同时,对于骨质疏松的预防与治疗及在高危人群中使用髋部保护器可起到有效的预防作用。
Internal fixation can provide satisfactory outcome for the elderly who suffers from non - displaced femoral neck fracture. However, displaced femoral neck fracture, especially in those who are 65 years old or above, makes an arthroplasty necessary. In virtue of its convincing clinical resuhs,less operation -related damage and relatively lower price, hemiarthroplasty, particularly bipolar hemiarthroplasty, may be a more appropriate choice compared with total hip replacement in the developing countries. In terms of prevention,the rate of femoral neck fracture may be effectively reduced by the prevention and treatment aiming at osteoporosis and the use of external hip protectors in the high-risk population.
出处
《创伤外科杂志》
2009年第5期464-467,共4页
Journal of Traumatic Surgery
关键词
股骨颈骨折
内固定
关节置换术
骨质疏松
老年
femoral neck fracture
internal fixation
arthroplasty
osteoporosis
elderly
