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全髋关节和双极人工股骨头置换术用于老年股骨颈骨折治疗的对比分析 被引量:9

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摘要 目的探究老年股骨颈骨折患者应用双极人工股骨头以及全髋关节置换的治疗效果。方法收集我院2012年1月至2013年1月收治的老年股骨颈骨折患者共50例,以随机的方式分为对照组与观察组,每组各有患者50例。观察组患者应用双极人工股骨头置换术进行治疗,对照组患者应用全髋关节置换术进行治疗。对比两组患者手术治疗效果及并发症。结果观察组患者手术平均时间(121.3±30.1)min,住院时间(22.3±3.0)d,术中出血(900±41.4)mL,对照组手术平均时间(132.3±28.1)min,住院时间(24.3±3.2)d,术中出血(908±31.2)mL,2组患者在以上各项指标对比没有显著差异性(P>0.05)。且观察组患者无出现并发症,对照组患者3例出现髋关节脱位、2例出现下肢静脉血栓、6例出现感染,1例出现压力性溃疡。结论老年股骨颈骨折患者应用双极人工股骨头置换手术跟全髋关节置换术对比,效果更好,有利于降低临床并发症,安全有效,但具体选择哪种术型,需结合患者具体情况来确定。
作者 杨立军
出处 《中国医药指南》 2014年第10期88-88,共1页 Guide of China Medicine
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  • 1张学斌,沈业彤,张子玉.全髋关节与人工股骨头置换术治疗股骨软骨折的疗效对比[J].中国老年学杂志,2014,34(6):1640-1641. 被引量:5
  • 2Gocen Z, Sen A, Unver B, et al. The effect of preoperative physiotherapy and education on the outcome of total hip replacement:a prospective randomized controlled trial.Clin Rehabil. 2003,18(4):353-358.
  • 3McKinley JC, Robinson CM. Treatment of displaced intracapsular hip fractures with total hip arthroplasty: comparison of primary arthroplasty with early salvage arthroplasty after failed internal fixation. J Bone Joint Surg Am 2002;84-A(11 ):2010-2015.
  • 4Godoy Monz6n D, Iserson KV, Jauregui J, et al. Total hip arthroplasty for hip fractures: 5-year follow-up of functional outcomes in the oldest independent old and very old patients. Geriatr Orthop Surg Rehabil. 2014;5(1):3-8.
  • 5Rogmark C, Fenstad AM, Leonardsson O, et al. Posterior approach and uncemented stems increases the risk of reoperation after hemiarthroplasties in elderly hip fracture patients. Acta Orthop. 2014;85(1):18-25.
  • 6Hedbeck CJ, Blomfeldt R, Lapidus G, et al. Unipolar hemiarthropiasty versus bipolar hemiarthroplasty in the most elderly patients with displaced femoral neck fractures: a randomised, controlled trial. Int Orthop. 2011 ;35(11): 1703-1711.
  • 7Inngul C,Hedbeck CJ,Blomfeldt R,et al. Unipolar hemiarthroplasty versus bipolar hemiarthroplasty in patients with displaced femoral neck fractures: a four-year follow-up of a randomised controlled trial. Int Orthop. 2013;37(12): 2457-2464.
  • 8Dalldorf PG, Banas MP, Hicks DG, et al. Rate of degeneration of human acetabular cartilage after hemiarthroplasty. J Bone Joint Surg Am. 1995;77(6):877o882.
  • 9Liu Y J, Xu B, Li ZY, et al. Quantitative score system for the surgical decision on adult femoral neck fractures. Orthopedics 2012;35(2):el 37-143. doi: 10.3928/01477447-20120123-09.
  • 10Kannan A, Kancherla R, McMahon S, et al. Arthroplasty options in femoral-neck fracture: answers from the national registries. I nt Orthop. 2012;36(1 ): 1-8.

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