人工股骨头置换和DHS治疗老年股骨粗隆间骨折的对比分析

The contrast analysis between artificial femoral head replacement and DHS to treat femoral bone trochanter fracture of aged people

目的对人工股骨头置换术和动力髋螺钉（DHS）内固定术治疗老年股骨粗隆间骨折两种治疗方法的临床疗效进行对比分析。方法采用回顾性总结的方法，收集108例老年粗隆间骨折，随机分别采用人工股骨头置换和DHS治疗的方法，经过2年以上的随访，比较两组间手术过程，功能恢复情况，并发症的发生情况等方面存在的差异。结果置换组手术实行微创技术，操作相对简单，创伤小，关节功能恢复较快，并发症少。结论对于老年粗隆间骨折的患者，手术创伤小，固定牢，能够早期下地活动，改善晚年生活质量，人工股骨头置换术是治疗老年股骨粗隆间骨折较理想的选择。

Objective The contrast analysis of clinical curative effect between Artificial thigh bone replace and DHS to treat femoral bone trochanter fracture of aged people. Methods Using retrospective approach, collecting 108 cases of femoral bone trochanter fracture of aged people ,treating with Artificial thigh bone replace and DHS at random ,following up above 2years, comparing distinction of operation process, funtioual recovery, complication in two sets. Results There are light wound, simple procedure, fast recovery of joint function, few complication in replace operation group. Conclusion To trochanter fracture of aged people, artificial femoral head replacement is a ideal chiee, it has features of light wound, finn fixed, moving earlier and improveing quality of life.