双极人工股骨头置换术治疗老年股骨颈骨折

Bipolar Hemiarthroplasty in the Treatment of Femoral Neck Fractures in Elderly Patients

目的：探讨双极人工股骨头置换术治疗老年股骨颈骨折的疗效。方法：127例老年股骨颈骨折患者按Garden分型，Ⅱ型30例，Ⅲ型46例,Ⅳ型51例，均采用双极人工股骨头置换术。结果：手术2周～3周后即扶拐下地，逐步负重行走：随访1年～12年，优良率为86．60%,其中，优94例（74％），良16例（12．6％），可12例（9．5%），差5例（3．9%）。结论：双极人工股骨头置换术创伤小，操作简便，术后病人可早期离床活动。正确掌握假体置换技术和手术技巧，术后做好医疗指导和护理工作，可获得良好的，临床疗效。因此，双极人工股骨头置换术是老年股骨颈骨折较好的治疗方法。

Objective： To study the effect of the treatment of the femoral neck fractures in elderly with bipolar hemiarthroplasty. Methods： 127 cases of the femoral neck fractures in elderly patients were treated with bipolar hemiarthroplasty. According to the Garden＇s classification of the femoral neck fractures, there were 30 cases in type Ⅱ,46 case in type Ⅲ, 51 cases in type Ⅳ. Results： All cases could walk with stick and with load gradually in 2 to 3 weeks after operation. They were followed up for 1 to 12 years. The good and excellent rate was 86.6%, in which 94 cases were excellent （74%）, 16 good （12.6%）, 12 common （9.5%）, 5 poor （3.9%）- Conclusion： The approach of this method had small trauma, simple performance, could let patients leave bed to move about early. Favourable clinic effect may be acquired so long as the correct operating skill could be mastered and medical guidance and nursing after operation are done well. So bipolar hemiarthroplasty might be a better method to treat the femoral neck fractures in elderly patients.