摘要
目的比较人工股骨头置换术与动力髋加压螺钉(DHS)内固定术治疗高龄股骨转子粉碎性骨折的手术效果。方法高龄股骨转子粉碎性骨折患者56例接受人工股骨头置换术25例(A组)和DHS内固定术31例(B组)。比较两组手术资料和效果。结果两组手术时间和手术出血量相仿(P>0.05)。A组手术时间较B组短[(58.6±22.5)min vs.(79.5±19.3)min]。随访6-16个月。A组患者下地负重时间较B组早[(4.8±1.7)d vs.(52.7±5.7)d]。A组术后6个月Harris评分较B组高[(90.3±3.6)分vs.(86.7±5.4)分]。A组并发症发生率低于B组[(20.0%vs.41.5%)](P<0.05)。结论对于转子粉碎性骨折合并严重骨质疏松高龄患者,人工股骨头置换术是一种安全有效的手术方法,可以快速恢复患者运动功能。
Objective To compare the results of surgical treatment of intertrochanteric fractures with artificial femoral head replacement and dynamic hip screw（DHS） internal fixation in aged patients. Methods The intertrochanteric fractures in 56 aged patients were treated by artificial femoral head replacement in 25 patients（group A） and DHS internal fixation in 31 cases（group B）. The clinical outcomes of two groups were compared. Results There were no significant differences in terms of blood loss and hospital stay between two groups. The operative time was shorter in group A than that in group BE（58. 6 ± 22. 5） min vs. （79.5 ±19.3） mini （P〈0. 05）. The patients were followed up for 6 to 16 months. The time to weight-bearing after operation was earlier in group A than that in group B[（4.8±1.7） d vs. （52.7±5.7） d]（P〈0. 05）. The incidence rate of complications was less in group A than that in group B[（20. 0% vs. 41.5%）]（P〈0. 05）. Harris score at 6 months after operation was higher in group A than that in group B[（90. 3±3.6） points vs. （86.7±5.4） points] （P〈0. 05）. Conclusion The artificial femoral head replacement is effective and safe for treating unstable intertrochanteric femoral fracture in aged patients with earlier recovery of walking function than DHS internal fixation.
出处
《江苏医药》
CAS
CSCD
北大核心
2012年第21期2562-2564,共3页
Jiangsu Medical Journal
关键词
股骨转子间骨折
人工股骨头置换
DHS内固定
Intertrochanteric fractures
Artificial femoral head replacement
Dynamic hipscrew internal fixation
