摘要
目的分析人工双动头全髋关节假体治疗偏瘫合并股骨颈骨折的疗效。方法回顾性分析获得随访的80例偏瘫并股骨颈骨折患者的临床资料。随机分为观察组和对照组,各40例。观察组采用人工双动头全髋关节置换术,对照组采用人工股骨头置换术。应用髋关节Harris评分标准评定关节功能,比较两组术后效果。结果术后患者切口均一期愈合,3 d^2周扶拐下床活动,术后80例患者得到随访,随访时间为6~24(16.0±0.5)个月。观察组术后关节疼痛评分、术后脱位例数均低于对照组,术后6个月Harris评分高于对照组,差异均有统计学意义(P<0.05)。结论应用人工双动头全髋关节置换治疗偏瘫合并股骨颈骨折,可减少髋关节脱位、髋关节疼痛等并发症。
Objective To analyze the efficacy of artificial double head hip prostliesis in the treatmentof hemiplegia complicated with femoral neck fracture. Methods A retrospective analysis of 80 patients,40 cases of double acting artificial total hip replacement were treated as the stiudy ficial femoral head replacement were treated as the control group. The joint function was evaluHarris scoring system of hip. Results Postoperative incision healed,3 days to 2 weeks of crutch ambu-lation , postoperative followup 80 cases, average 6-24 （16.0 ±0.5） months, postoperative pain, post-operative dislocation and 6 months after surgery, Harris score was better than that of the control group, and the difference was statistically significant （ P 〈 0. 05 ） . Conclusion Double dynamic total hip replacement for the treatment of hemiplegia complicated witii femoral neck fracture can reduce the complications of hip dislocation and hip joint pain.
出处
《河南医学高等专科学校学报》
2017年第6期516-518,共3页
Journal of Henan Medical College
关键词
股骨颈骨折
偏瘫
关节成形术
双动全髋
femoral neck fracture
hemiplegia
arthroplasty
artificial double head total hip
