人工股骨头置换治疗骨质疏松性股骨粗隆间骨折36例

目的观察人工股骨头置换治疗骨质疏松性股骨粗隆间骨折的临床效果。方法对2008年1月—2013年6月收治的36例骨质疏松性股骨粗隆间骨折行加长柄双极骨水泥人工股骨头置换术,术后常规予鲑鱼降钙素联合钙剂抗骨质疏松治疗。结果术后Harris关节功能评分平均88分(68~94分),其中优18例,良13例,可4例,差1例,优良率为86.1%。2例术后活动后出现髋部轻度疼痛,1例下肢深静脉栓塞;本组均无髋关节脱位、假体周围再骨折、假体松动及下陷、大小粗隆骨折不愈合等并发症发生。结论人工股骨头置换术治疗骨质疏松性股骨粗隆间骨折可减少力学及内固定相关风险,且并发症少,效果良好。

Artificial Femoral Head Replacement in Treatment of 36 Patients with Osteoporotic Femoral Intertrochanteric Fracture

Objective To observe the effect of artificial femoral head replacement in treatment of osteoporotic femoral intertrochanteric fracture. Methods A total of 36 inpatients with osteoporotic femoral intertrochanteric fracture underwent long-stem cemented artificial femoral head replacement during January 2008 and June 2013,and routine salmon calcitonin combined with calcium of anti osteoporosis treatment was performed after operations. Results The postoperative Harris hip score was 88（ 68-94）,which included excellent in 18 cases,good in 13 cases,common in 4 cases and poor in 1 case,and the excellent and good rate was86. 1%. Two patients had postoperative hip mild pain after activity,and one patient had deep vein thrombosis of lower extremity,but there were no complications such as dislocation of hip joint,periprosthetic fracture,prosthesis loosening,subsidence and greater trochanteric fracture nonunion. Conclusion Artificial femoral head replacement in treatment of osteoporotic femoral intertrochanteric fracture can reduce the risks of mechanics and internal fixation with fewer complications and better effect.