三种假体置换治疗股骨颈骨折的疗效观察

To observe effects for treatment of femoral neck fracture by three types of art hroplasty

目的比较不同类假体置换术对老年人股骨颈骨折的治疗效果.方法2000年1月到2004年3月,对96例60岁以上老年股骨颈骨折,采用单极股骨头、双极股骨头及全髋关节置换术.结果所有病例术后1～3周下地行走,随访1～4年,按Harrs评分标准,术后髋关节功能优良率分别为:单极股骨头置换84.62%,双极股骨头置换93.22%,全髋置换90.91%.结论人工股骨头或全髋置换术是治疗老年股骨颈骨折的有效方法,可促使老年人早期活动,提高生活质量.通过严格的术前评估,选择合理的方法,人工股骨头置换与全髋置换同样能取得良好的临床疗效.

Objective To review the effects of three types of arthroplasty for treating the fracture of the femoral neck . Methods From 2000 to 2004, 96 cases were operated on with unipolar hemiarthroplasty, bipolar hemiarthroplasty or total arthroplasty. Results Follow-up duration were 1 - 4 years, according to Hans criterion, excellent or good results of unipolar hemiarthroplasty was 84.62%, that of bipolar hemiarthroplasty was 93.22% and that of total arthroplasty was 90.91%. Conclusions Hemiarthroplasty or total arthroplasty is the good method in the treatment of the femoral neck fracture for elderly patient. By strictly preoperative evaluation,good treatment methods were selected,hemiarthroplasty can obtain the same good effect as total hip replacement.