人工股骨头置换术治疗高龄股骨粗隆间骨折中股距重建的策略
左进步;余磊;梁宏伟;王伟;赵斌;齐进如;
摘要(Abstract)：
[目的]通过比较分析人工股骨头置换术治疗高龄股骨粗隆间骨折与股骨颈骨折的疗效及预后,评价双极骨水泥型人工股骨头置换术治疗高龄股骨粗隆间粉碎骨折的效果。[方法]2005年6月～2009年6月间本院采用人工股骨头置换术治疗高龄股骨粗隆间骨折和股骨颈骨折共112例患者,男35例,女77例,年龄75～96岁,平均81.4岁。其中股骨粗隆间骨折52例,股骨颈骨折60例。对手术时间、出血量、下地负重时间和髋关节功能进行评价。[结果]术后随访12～39个月,平均18.6个月。髋关节功能按Harris评分:股骨粗隆间骨折组,优良率92.1%(优22例,良25例,可3例,差1例)。股骨颈骨折组,优良率91.3%(优28例,良25例,可4例,差1例)。股骨颈骨折组在手术时间、出血量均显著优于股骨粗隆间骨折组。下地负重时间和髋关节优良率方面无显著差别。[结论]人工股骨头置换术可成为治疗高龄股骨粗隆间不稳定骨折的主要方法。
关键词(KeyWords)： 高龄;股骨粗隆间骨折;人工股骨头置换术;股骨颈骨折
基金项目(Foundation):
作者(Author): 左进步;余磊;梁宏伟;王伟;赵斌;齐进如;
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参考文献(References)：
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