人工关节置换与内固定治疗骨质疏松性不稳定股骨粗隆间骨折的对比分析

目的:探讨分析人工关节置换与内固定治疗骨质疏松性不稳定股骨粗隆间骨折的疗效。方法:选取2012年1月-2013年5月本院收治的高龄股骨粗隆间骨折患者60例,按照随机数字表法分为治疗组和对照组各30例,治疗组采用人工关节置换术治疗,对照组采用内固定治疗。结果:治疗组的优良率为93.33%,显著优于对照组的70.00%,两组比较差异具有统计学意义(P0.05);两组在手术时间、术中出血量方面比较差异无统计学意义(P0.05);治疗组术后卧床时间及并发症方面明显少于对照组,两组比较差异具有统计学意义(P0.05)。结论:人工关节置换治疗骨质疏松性不稳定股骨粗隆间骨折临床疗效确切,值得推广应用。

Comparison and Analysis of Artificial Joint Replacement and Internal Fixation in the Treatment of Osteoporotie UnstableIntertrochanteric Fracturer

Objective：To investigate the effect of artificial joint replacement and internal fixation in the treatment of osteoporotic unstable intertrochanteric fractures. Method：60 patients with intertrochanteric fracture in our hospital from January 2012 to May 2013 were treated and selected, and divided into treatment group and control group according to the random numbers,each group had 30 cases,the treatment group were treated with arthroplasty,the control group used fixation. Result：Excellent rate of the treatment group was 93.33%,significantly better than 70.00%of the control group,the difference was statistically significant（P〈0.05）;the differences of operative time,blood loss of the two groups had no statistically significant （P〉0.05）;postoperative bed time and complications treatment group was significantly less than the control group,the differences were statistically significant（P〈0.05）. Conclusion：Artificial joint replacement in the treatment of osteoporotic unstable intertrochanteric fracture has a exact clinical curative effect,is worthy of popularization and application.