人工关节置换术治疗高龄不稳定型股骨粗隆间骨折56例

目的：观察高龄不稳定型粗隆间骨折人工关节置换术的治疗效果。方法：2005年1月至2008年1月收治高龄不稳定型股骨粗隆间骨折患者56例,行人工关节置换术治疗,按照Harris标准评分分析效果。结果：56例患者均顺利完成手术,平均手术时间62 min,平均住院17天。随访1～3年,术后14月因突发脑出血死亡1例,其余患者功能恢复良好。按照Harris标准评分优良率为91%。结论：高龄股骨粗隆间骨折采用人工关节置换术治疗安全有效。

Arthroplasty for the Treatment of 56 Elderly Patients with Unstable Intertrochanteric Femoral Fracture

Objective： To evaluate the clinical effect of arthroplasty on the unstable femoral intertrochanteric fracture in the elderly patients.Methods： To analyze a total of 56 elderly patients with unstable intertrochanteric femoral fracture were treated with arthroplasty from 2005 to 2008.The clinical results were followed-up and analyzed according to Harris score system.Results： All the 56 cases were operated successfully.The average operating time was 62 minutes and average in-hospital stay was 17 days.All the elderly patients were followed up for 1 to 3 years,and achieved excellent clinical results except for 1 case died of brain hemorrhage on 14 months after the operation.The Harris average score was excellent in 91%.Conclusion： Arthroplasty is safe for the treatment of unstable intertrochanteric femoral fracture in the elderly patients,which could achieve excellent results.