球囊扩张骨水泥加强内固定术治疗老年骨质疏松性股骨颈骨折的临床初步报告

目的 探讨一种治疗老年骨质疏松性股骨颈骨折的简单、微创、安全、有效的方法。方法 自2001年7月-2003年9月，采用球囊扩张骨水泥加强内固定术治疗23例骨质疏松性股骨颈骨折，男9例，女14例，平均85岁。结果 所有患者术后1-10d疼痛减轻，均下地免负重活动，无严重并发症发生。结论 球囊扩张骨水泥加强内固定术是一种治疗骨质疏松性股骨颈骨折简单、有效、安全的新方法，能早期去除疼痛，尽快使患者下床，减少卧床所致并发症，尤其适用于严重骨质疏松不能耐受人工髋关节置换术的病人。

Clinical efficacy of inflatable bone tamp with bone cement in treatment of femoral neck fracture in old patients with osteoporosis.

Objective To develop a simple, minimally invasive, safe, effective and economical therapy for femoral neck fracture in old patients with osteoporosis. Methods Twenty-three osteoporotic old patients in-flicting femoral neck fracture were treated with femoral neck internal fixation reinforeed with bone cement from July 2001 to September 2003. The patients included 14 women and 9 men with a mean age of 85 years. Results All patients had marked to complete relief of pain and could ambulate without load on 1-10 days after operation. No se-vere complication occureed. Conclusions Inflatable bone tamp with bone cement yields good clinical results in old patients with femoral neck fracture so that they are significantly relieved of pain and are able to ambulate early. It is a promising, simple, minimally invasive, safe, effective and economical therapy for old patients with femoral neck fracture.