本文已被:浏览 721次 下载 412次
Received:June 07, 2020 Published Online:December 20, 2020
Received:June 07, 2020 Published Online:December 20, 2020
中文摘要: 目的 探讨使用生物型长柄假体股骨头置换治疗老年股骨粗隆间骨折的早期临床疗效。方法 选择2015年9月至2019年3月收治的22例老年股骨粗隆间骨折患者作为研究对象。所有患者均使用生物型长柄假体(APL非骨水泥柄)行股骨头置换术,术后随访6个月,记录术后1、3、6个月患侧髋关节功能Harris评分。统计每个时段优良率,并将不同阶段优良率及评分进行对比,以评价术后不同阶段功能恢复情况。结果 术后1个月髋关节功能Harris评分(74.27±3.82)分,优良率为18.18%;术后3个月髋关节功能Harris评分(81.78±4.59)分,优良率为59.09%;术后6个月髋关节功能Harris评分(87.79±4.84)分,优良率为86.36%。随着时间延长,髋关节功能Harris评分优良率和髋关节功能Harris评分逐渐增加,差异有统计学意义(P<0.01)。结论 采用生物型长柄假体股骨头置换治疗老年股骨粗隆间骨折可有效改善患侧髋关节功能,此手术方式可减少患者外伤后卧床时间,能让患者早期下床活动,减少卧床相关并发症的发生,促进患者康复,早期随访手术效果良好,是治疗老年患者股骨粗隆间骨折的一种有效手术方式。
Abstract:Objective To investigate the early clinical effect of femoral head replacement with biological long stem prosthesis in the treatment of elderly intertrochanteric fracture. Methods A total of Twenty-two elderly patients with intertrochanteric fractures treated from September 2015 to March 2019 were selected as the research objects.All patients underwent hemiarthroplasty with biological long stem prosthesis (APL non-cemented stem prosthesis made by Smith & Nephew company).Harris scores of hip joint were recorded at 1-, 3- and 6-month after operation.The excellent and good rates were counted and compared to evaluate the functional recovery in different stages after operation. Results The Harris hip score was (74.27±3.82) points one month after operation with the excellent and good rate of 18.18% and was (81.78±4.59) points three months after operation with the excellent and good rate of 59.09%.At 6 months after operation, the Harris hip score was(87.79±4.84)points, and the excellent and good rate was 86.36%.With the extension of time, the excellent and good rate of Harris hip function score gradually increased (P<0.01). Conclusion In the treatment of elderly patients with intertrochanteric fracture, femoral head replacement with biological long stem prosthesis can effectively improve the function of the affected hip joint, reduce the time of lying in bed after trauma, enable the patients to get out of bed early, decrease the occurrence of bed related complications, promote the recovery of patients and have good effect at early follow-up after operation.
文章编号: 中图分类号:R683.42 文献标志码:B
基金项目:
引用文本: