高龄股骨颈骨折的手术治疗（附74例报告）

Surgical Treatment for Femoral Neck Fracture in Elderly Patient (A Report of 74 Cases)

本文报告74例经手术治疗的70岁以上的股骨颈骨折,其中采用多枚克氏针内固定13例,加压螺纹钉内固定30例,人工股骨头置换31例。随访1至5年,优良率82.43％,无切口感染及早期死亡。作者认为老年病人手术应权衡手术的作用和危险性,对考虑要手术的病人应详细检查,全面评价,术式选择要根据骨折类型及病人耐受情况而定,术中监护是安全手术的保证。

Operative treatment in 74 cases of femoral neck fracture in elderly patients were reported.According to the fracture types and degree of operative risk .13 of them had been treated by multiple kirschner's wire fixation, 30by compression screw fixation and 31 by compression screw fixation and 3] by prosthetic replacement. All case had been followed -up from 1 to 5 years. The rate of excellent and good was 82. 43%. No wound infection and operative mortality ocurred. We suggest that selecting the operative method are on the basis of general condition in patient and fracture types.