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人工假体置换术治疗高龄不稳定型股骨粗隆间骨折的疗效 被引量:4

Effect of Prosthetic Replacement for Unstable Intertrochanteric Fractures in the Elderly
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摘要 目的探讨人工假体置换术治疗高龄不稳定型股骨粗隆间骨折的疗效。方法选取15例高龄不稳定型股骨粗隆间骨折行人工假体置换术患者为人工假体置换组,26例行内固定术患者为内固定组,比较两组患者的手术时间、离床活动时间、术中输血量、并发症发生率及术后活动功能分级下降情况。结果两组患者的离床活动时间比较,差异有统计学意义(P<0.01);术中输血量比较,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05),但人工假体置换组患者无长期卧床并发症发生。结论人工假体置换术可作为高龄不稳定型股骨粗隆间骨折治疗的选择之一,并具有一定优势。 Objective To investigate the clinical effect of prosthetic replacement on the unstable intertrochanteric fractures in the elderly.Methods 41 patients of unstable intertrochanteric fractures in the eldly were chosen from January 1988 to February 2005,and 15 of them were delt with the prosthetic replacement,while the other 26 patients were delt with the internal fixation.It was compared between the prosthetic replacement group and the internal fixation group that the time length and the volume of blood-transf...
作者 潘肃 高忠礼
出处 《中国全科医学》 CAS CSCD 北大核心 2009年第1期46-47,59,共3页 Chinese General Practice
关键词 关节成形术 置换 股骨骨折 高龄 Arthroplasty replacement Femoral fractures Elderly age
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参考文献5

  • 1Buchuner DM,Koepsell TD,Abrass IB.Chronicillness as a risk factor for hip factor for hip frac-ture:results of a case-control study and reviewof the literature[].Prevention of Falls and Hip Fracture in the Eld-erly.1994
  • 2Haidukewych GJ,Berry DJ.Hip arthroplasty for salvage of failed treatment of intertrochanteric hip fractures[].Journal of Bone and Joint Surgery British Volume.2003
  • 3Dimon,JH,Hughston,JC.Unstable intertrochanteric fractures of the hip[].Journal of Bone and Joint Surgery British Volume.1967
  • 4Hunter GA,Krajbich IJ.The results of medial displacement osteotomy for unstable intertrochanteric fractures of the femur[].Clinical Orthopaedics.1978
  • 5Muller ME,Nazarian S,Koch P,Schatzker J.The comprehensive classification of fractures of the long bones[]..1990

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