老年股骨颈骨折的微创小切口人工全髋关节置换

目的 探讨采用后路小切口人工全髋关节微创置换治疗老年股骨颈囊内骨折的可行性和治疗效果.方法 采用后路小切口对23例股骨颈骨折的老年患者行髋关节置换术,总结微创小切口人工全髋关节置换术在切口长度、失血量、术后康复、假体位置、Harris评分方面的手术经验.结果 手术切口平均(8.6±1.1)cm；术中出血量平均(200±30)ml；手术时间平均(90±10)min；术后引流量平均(180±35)ml,平均输血400ml.Harris评分术后6个月平均(81±3)分.结论 微创小切口全髋关节置换术是可行的,尤其适合老年股骨颈骨折患者,但技术条件要求较高.

Minimally invasive incision in total hip arthroplasty for displaced femoral neck fractures in the elderly

Objective To study the feasibility and therapeutic results of total hip arthroplasty （THA） with minimally invasive incision through posterolaterai approach for elderly patients with displaced femoral neck fractures. Methods By manipulating the mini-invasive incision, it used total hip arthroplasty to treat twenty-three patients who fractured neck of femur. I concluded the operation expriences of the mini-invasive incision THA, which included incision lenth, blood lose in operation, posterative recovery and Harris score. Results The lengh of incision was （8.6 ± 1.1 ） cm. The blood loss was（200 ± 30） ml. The operation time was （90 ± 10） min. Postoperative drainage （ 180 ±35） ml. Blood transfusion 400ml. Conclusion It is feasible for THA with mini-invasive incision, can be nerformed for elderlv uatients with displaced femoral neck fractures.