双极股骨头假体置换术治疗高龄患者股骨转子间粉碎性骨折

目的探讨双极股骨头假体置换术治疗高龄患者股骨转子间粉碎性骨折的临床疗效,为临床合理选择治疗方式提供依据。方法对31例高龄股骨转子间粉碎性骨折患者应用骨水泥型加长柄双极股骨头置换治疗。随访并评价治疗效果。结果手术时间63~98 min,术中出血量380~700 ml。患者切口一期愈合,无深部感染;无下肢血栓及褥疮发生。31例均获随访,时间12~24个月。在术后12个月时患髋关节功能Harris评分:优9例,良19例,一般3例,优良率为90%。结论双极股骨头假体置换治疗高龄患者股骨转子间粉碎性骨折,患肢可以早期负重,术后髋关节功能恢复良好,降低了并发症的发生率,是一种良好的治疗方法。

Treatment of intertrochanteric comminuted fracture in elderly patients by replacement of ar-tificial bipolar femoral head

Objective To retrospective study application of bipolar femoral prosthesis replacement therapy in patients with elderly intertrochanteric comminuted fracture clinical curative effect, and to provide basis of reasonable choice for clinical treatment. Methods Cemented bipolar femoral head replacement with long stem was used in treatment of 31 cases of intertrochanteric comminuted fracture. Results The operation time was 63 -98 min. Amount of bleeding was 380-700 ml. All patients got postoperative incision healing, no deep infection, no lower limb blood clots or bedsore were found. All of the patients had been followed up for 12 -24 months. All patients were evaluated with postoperative 12 months hip function Harris grading, including：excellent in 9 cases, good in 19, fair in 3, and the excellent and good rate was 90%. Conclusions Artificial bipolar femoral prosthesis replacement therapy is effective in patients with elderly intertrochanteric comminuted fracture. Limb can allow early weight, postoperative hip function recovers well and the incidence of complications is reduced. It is a kind of good treatment way.