老年股骨颈骨折半髋置换选择骨水泥型和生物型假体的临床观察Hemiarthroplasty for femoral neck fracture in the elderly: does cement make a difference
李建刚;李超英;
摘要(Abstract):
[目的]探讨老年股骨颈骨折患者选择骨水泥型和生物型股骨假体治疗股骨颈骨折的疗效比较。[方法]回顾性分析2012年6月~2014年6月,选择同期进行人工股骨头置换的老年患者共151例。其中骨水泥型组65例,生物型组86例。记录并比较两组的临床资料、髋关节功能Harris评分和术后髋关节疼痛VAS评分。[结果]151例患者术后均获得1年以上的有效随访。生物型假体组在手术时间、术中出血方面要优于骨水泥假体组,差异具有统计学意义(P<0.05)。而骨水泥型假体组在术后引流量、术后部分负重、术后完全负重及住院时间方面要优于生物型假体组,差异具有统计学意义(P<0.05)。两组在术前和术后1年Harris评分差异均无统计学意义(P>0.05)。骨水泥型假体组在术后1、6个月时Harris评分均优于生物型假体组,差异具有统计学意义(P<0.05)。两组疼痛VAS评分在术前、术后2周、术后1、6个月时差异均无统计学意义(P>0.05)。两组相关并发症都得到积极有效的治疗,两组间并发症的差异均无统计学意义(P>0.05)。[结论]骨水泥型和生物型假体治疗老年股骨颈骨折均能获得满意的治疗疗效,可根据假体不同的特点结合患者的具体情况,选择最合适的治疗方式。
关键词(KeyWords): 老年;股骨颈骨折;半髋关节置换;生物型假体;骨水泥型假体
基金项目(Foundation):
作者(Author): 李建刚;李超英;
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参考文献(References):
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