| SuperPATH入路全髋置换与空心钉治疗老年股骨颈骨折 |
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| 引用本文： | 孙从府,房巍,周东生.SuperPATH入路全髋置换与空心钉治疗老年股骨颈骨折[J].中国矫形外科杂志,2019(12):1102-1105. |
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| 作者姓名： | 孙从府 房巍 周东生 |
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| 作者单位： | 1.山东省郓城县中医医院;2.山东省立医院创伤骨科 |
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| 摘 要： | 目的]比较微创SuperPATH入路全髋置换术与空心钉内固定术治疗老年股骨颈骨折的临床效果.方法] 2012年11月~2018年12月收治的老年股骨颈骨折患者99例,按手术方式,50例采用微创SuperPATH入路全髋置换术治疗,另外49例采用空心钉内固定治疗,对比两组患者的临床效果.结果]两组手术均顺利完成,无重大并发症,置换组失血量多于内固定组,手术时间长于内固定组,但其下地行走时间显著早于内固定组,住院时间短于内固定组(P<0.05).随访4~12个月,平均(9.63±1.24)个月,末次随访时,置换组患者在髋关节活动度、Harris评分方面明显优于内固定组,差异有统计学意义(P<0.05).置换组患者的临床结果总有效率为92.00%,内固定组的总有效率为81.63%.患者满意度置换组达到了96.00%,内固定组仅为65.31%,差异均存在统计学意义(P<0.05).结论]微创SuperPATH入路人工全髋置换术治疗老年股骨颈骨折明显优于空心钉内固定术,具有并发症少、临床效果好、患者的满意度高的优点.
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| 关 键 词： | 股骨颈骨折 老年人 SuperPATH入路 人工全髋置换术 空心螺钉 |
Femoral head replacement through SuperPATH versus internal fixation with cannulated screw for femoral femoral neck fractures in the elderly |
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| SUN Cong-fu,FANG Wei,ZHOU Dong-sheng.Femoral head replacement through SuperPATH versus internal fixation with cannulated screw for femoral femoral neck fractures in the elderly[J].The Orthopedic Journal of China,2019(12):1102-1105. |
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| Authors: | SUN Cong-fu FANG Wei ZHOU Dong-sheng |
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| Institution: | (Department of Orthopaedics, Traditional Chinese Medicine Hospital of Yuncheng County, Yuncheng 274700, China;Department of Traumatic Orthopaedics, Shandong Provincial Hospital, Jinan 250021, China) |
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| Abstract: | SUN Cong-fu;FANG Wei;ZHOU Dong-sheng(Department of Orthopaedics, Traditional Chinese Medicine Hospital of Yuncheng County, Yuncheng 274700, China;Department of Traumatic Orthopaedics, Shandong Provincial Hospital, Jinan 250021, China) |
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| Keywords: | femoral neck fracture elderly SuperPATH approach artificial femoral head replacement cannulated screw |
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