髋关节置换治疗40例老年人股骨颈骨折和股骨头坏死的疗效观察

目的探讨髋关节置换术治疗老年股骨头坏死和股骨颈骨折的效果。方法选择老年股骨头坏死和股骨颈骨折患者80例,分为髋关节置换术（观察组）和人工股骨头置换术（对照组）临床效果进行比较。结果两组均无严重并发症发生,观察组总体优良率显著高于对照组,差异有统计学意义（P〈0.05）。结论采用髋关节置换术对老年股骨颈骨折和股骨头坏死患者进行治疗,可显著改善预后,确保临床安全,促进患者康复,明显提高生存质量,值得在临床广泛推广应用。

Clinical Observation of Hip Replacement in the Treatment of Elderly Patients with Femoral Neck Fracture and Osteonecrosis

Objective To investigate the effect of hip replacement in the treatment of elderly patients with femoral neck fracture and osteonecrosis. Methods 80 elderly patients with femoral head necrosis and osteonecrosis were divided into hip arthroplasty group（observation group） and hemiarthroplasty group（control group）and compared the clinical effect. Results No severe complications occurred in two groups. Rate in the observation group was overall excellent and it was significantly higher than that of control group, the difference was statistically significant（P0.05）. Conclusion The treatment of the elderly femoral neck fracture and osteonecrosis in patients with hip replacement, can significantly improve the prognosis, to ensure the clinical safety, promote the rehabilitation of patients, improve quality of life. It is worth in clinical application.