摘要
目的：总结空心螺钉、DHS或人工关节置换治疗股骨颈骨折的适应证及效果。方法：分别用空心螺钉、DHS固定和人工关节置换3种方法治疗获得随访的中老年股骨颈骨折29例。年龄51-85岁,平均68.3岁。空心螺钉组8例,DHS组15例,人工关节组6例。结果：随访29例,随访时间1-3年,平均2.3年。围手术期无1例死亡,无切口感染,无内固定断裂,无关节脱位。发生退钉2例,股骨头坏死1例。功能评定：优20例,良6例,差3例。结论：根据患者的年龄、经济状况、骨折部位、骨折分型合理地选择治疗方法,是减少并发症,提高治疗效果和老年人生活质量的关键。
Objective：To summarize the indications and efficacy of cannulated screw,DHS or totol hip arthroplasty for femoral neck fracture.Methods：Using cannulated screw,DHS or totol hip arthroplasty（THA） for femoral neck fracture in elder people respectively and all patients were followed-up.Age range of patients were 51-85 years old and mean age was 68.3 years old.Cannulated screw group was 8 patients,DHS group was 15 patients and THA group was 6 patients.Results：Twenty-nine patients were followed-up,follow-up time was 1- 3 years and mean follow-up
time was 2. 3 years. None patients was dead in peri-operative period. Wound inlectlon, breaking ot mternal tlXatlon and displacement of hip were not happened. There were 2 cases of internal fixation loosing and 1 cases of necrosis of femoral head. Functional assessment： excellent cases were 20, good cases were 6, bad cases were 3. Conclusion： The key of reducing complicants, improving medical efficacy and quality of live in elder people was that treatment was chosen depending on the age of patients, economic situation, position of fracture, classification of fracture.
出处
《华西医学》
CAS
2009年第8期1969-1970,共2页
West China Medical Journal
