加长柄人工股骨头置换治疗68例老年性股骨粗隆间骨折的临床疗效

目的探讨加长柄人工关节置换治疗老年性股骨粗隆间骨折的手术方法及疗效。方法选择2007年1月-2012年1月间采用加长柄人工股骨头置换术治疗的68例高龄股骨粗隆间骨折患者进行随访。观察手术时间、出血量、Harris关节功能评分及并发症情况。结果随访9-32个月,平均14个月,所有患者术后7 d离床活动。平均手术时间为88 min、平均出血量为380 mL、关节功能优良率83.7%,未发生重大并发症。结论对于老年性股骨粗隆间骨折,加长柄人工股骨头置换术是一种安全有效的治疗手段。

Clinical efficacy of long handle artificial femoral head replacement in elderly intertrochanteric fractures in 68 cases

【Objective】To evaluate the clinical efficacy and surgical method of long handle artificial femoral head replacement in elderly intertrochanteric fractures.【Methods】 Chose from January 2007 to January 2010,68 cases of elderly intertrochanteric fracture used long handle artificial femoral head replacement after treatment,the follow-up.Observe the operation time,blood loss,joint function Harris scores and complication.【Resluts】Followed up 9 to 32 months,an average of 14 months,all patients who walk the earth weight after 7 days.Average operation time was 88 min,the bleeding on average was 380 mL,joint function is good accounted for 83.7%,not serious complications.【Conclusion】 The long handle artificial femoral head replacement in elderly intertrochanteric fractures is a safe and effective treatment method.