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应用人工关节置换术治疗高龄股骨粗隆间不稳定性骨折
引用本文:胡汉生,余升华,张华焕,范震波. 应用人工关节置换术治疗高龄股骨粗隆间不稳定性骨折[J]. 岭南现代临床外科, 2007, 7(6): 440-442
作者姓名:胡汉生  余升华  张华焕  范震波
作者单位:广州医学院第三附属医院骨外科,510150;广州医学院第三附属医院骨外科,510150;广州医学院第三附属医院骨外科,510150;广州医学院第三附属医院骨外科,510150
摘    要:目的探讨人工髋关节置换术治疗高龄股骨粗隆间不稳定性骨折的临床疗效。方法对2002年6月至2007年5月收治的20例外伤性股骨粗隆间骨折患者采用人工髋关节置换术治疗。结果经6~24个月随访,18例恢复或基本恢复到受伤前髋关节功能,生活可自理,2例需借助行器行走,未出现假体松动、下沉等并发症。结论高龄不稳定型股骨粗隆间骨折,采用人工髋关节置换治疗,临床疗效满意,有利于早期功能恢复,减少术后并发症,但应严格掌握适应证。远期疗效则需要进一步观察。

关 键 词:股骨粗隆间骨折  人工关节置换  老年人  不稳定型
文章编号:1009-976X(2007)06-0440-03
收稿时间:2007-08-08
修稿时间:2007-08-08

Use of artificial joint replacement for the treatment of unstable intertrochanteric fracture in elderly patients
HU Hansheng,YU Shenghua,ZHANG Huahuan,FAN ZHenbo. Use of artificial joint replacement for the treatment of unstable intertrochanteric fracture in elderly patients[J]. Lingnan Modern Clinics in Surgery, 2007, 7(6): 440-442
Authors:HU Hansheng  YU Shenghua  ZHANG Huahuan  FAN ZHenbo
Abstract:Objective To study the clinical effect of prosthesis replacement for the treatment of unstable intertrochanteric fractures in elderly patients. Methods From June 2002 to hip prosthesis collapse and loosening were found. Conclusion Prosthetic replacement is desirable for the management of unstable intertrochanteric fractures in the elderly. It benefit the patients earlier functional recovery and lower complication. But we must grasp operation indication.The long term efficacy is necissary to further observation.
Keywords:Intertrochanteric fractures  Artificial joint replacement  Elderly  Unstable type
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