加长柄人工股骨头置换治疗高龄不稳定型股骨转子间骨折

目的评价应用加长柄股骨头置换治疗高龄骨质疏松不稳定型转子间骨折的临床疗效。方法对85例高龄不稳定型股骨转子间骨折采用加长柄人工股骨头置换术,根据Harris髋关节评分评价临床疗效。结果患者均获得随访,时间9~18个月。患者髋关节功能均恢复良好,术后3~6个月基本恢复生活能力。术后随访均未出现下肢深静脉血栓、关节脱位、人工假体松动、下沉或断裂、假体周围骨折等并发症。术后9个月根据髋关节Harris评分优良率达90.83%。结论加长柄人工股骨头置换是治疗高龄不稳定型转子间骨折安全、有效的方法,但远期疗效尚需进一步随访观察。

Treatment of unstable intertrochanteric fractures with long-stem hemiarthroplasty in elderly ;patients

Objective To evaluate the clinical effect of long-stem hemiarthroplasty in the treatment of unstable inter-trochanteric fractures in elderly patients. Methods Eighty-five elderly patients with unstable intertrochanteric frac-tures were treated with long-stem hemiarthroplasty. Harris hip score was used to evaluate the clinical efficacy. Re-sults All patients were followed up for 9 ~18 months. The hip joint function recovered well in those patients,and 3~6 months after surgery,the patients recovered the basic life skills. After hemiarthroplasty, no deep venous throm-bosis of lower limb, dislocation, prosthesis loosening, subsidence or rupture of the prosthesis, fracture of the prosthe-sis occurred. According to the Harris hip standard after 9 months postoperation, the excellent and good rate was 90. 83%. Conclusions Using long-stem hemiarthroplasty for treatment in the elderly patients with intertrochanteric fractures is a safe and effective method, but the long-term effect needs further observation.