摘要
目的探讨髋关节置换术治疗老年股骨粗隆间骨折的临床疗效及体会。方法采用髋关节置换术治疗老年股骨粗隆间骨折38例,其中28例行全髋关节置换术,10例行人工股骨头置换术。结果术后37例获平均24(6~48)个月随访,1例术后2个月因突发心肌梗死抢救无效死亡。2例发生大面积脑梗死,经治疗好转;6例术后发生一过性精神障碍,对症治疗后恢复正常;1例术后盘腿穿袜时出现髋关节脱位,经手法复位后恢复良好,未复发。所有切口均一期愈合,无感染。术后1年髋关节Harris评分:优19例,良13例,可4例,差1例,优良率86.5%。结论髋关节置换术治疗老年股骨粗隆间骨折具有内固定不能达到的效果,可以尽快减轻患者痛苦并提高老年人的生活质量,减少并发症的发生。
Objective To investigate clinical efficacy and experience of hip replacement in treatment of femoral intertroehanteric fractures. Methods The clinical data of 38 cases of femoral intertrochanterie fractures who had underwent hip replacement were retrospectively analyzed. Of which, 28 cases underwent total hip replacement while 10 cases received a^ficial femoral head replacement. Results Thirty seven patients were followed up for average 24 months （6 to 48 months）. One patient who was hospitalized for two weeks died of acute myocardial infarction two months after discharge from hospital. Two patients had large area cerebral infarction, and recovered after treatment. Six patients had mental disorder, and returned to normal after symptomatic treatment. Dislocation occurred in one patient when wearing socks cross-legged two weeks after discharge and recovered by manual reduction in hospital without recurrence. All the incisions were primarily healed, without incision infection. One year after operation, the Harris hip score was excellent in 19 cases, good in 13 eases, fair in 4 cases, poor in 1 ease, the excellent and good rate was 86.5%. Conclusion Hip replacement in the treatment of senile femoral intertroehanterie fracture can achieve the effect that internal fixation couldn＇t do, and it can reduce the suffering of patients as soon as possible and improve the quality of life of the elderly, and reduce the occurrence of complication.
出处
《中国骨与关节损伤杂志》
2013年第10期917-919,共3页
Chinese Journal of Bone and Joint Injury
基金
永川区2011年度软科学指导性计划(永科委〔2011〕24号)
关键词
股骨粗隆间骨折
髋关节置换术
老年
Femoral intertrochanterie fractures
Hip replacement
Elderly
