人工股骨头置换与人工全髋关节置换在治疗老年股骨颈骨折中的疗效比较

The comparison of efficacy of artificial femoral head replacement and the artificial total hip replacement in the treatment of femoral neck fracture

目的对比观察人工股骨头置换(FHR)与人工全髋关节置换(THR)在治疗老年股骨颈骨折中的临床疗效。方法将42例股骨颈骨折随机分为两组,分别采用人工股骨头置换和人工全髋关节置换术进行治疗。结果两组患者的手术时间、出血量和术后并发症发生率差异均无统计学意义(P>0.05)。人工股骨头置换和人工全髋关节置换术后优良率分别为90.9%、95.0%(P>0.05)。结论人工股骨头置换和人工全髋关节置换术同样可以达到治愈股骨颈骨折的目的,是目前治疗老年股骨颈骨折比较理想而可靠的方法。

Objective To compared the clinical efficacy of artificial femoral head replacement （FHR） and artificial total hip replacement （THR） in the treatment femoral neck fractures. Methods The 42 cases of femoral neck fractures randomly divided into two groups to use artificial FHR and artificial THR for replacement surgery for treatment. Results The operative time, the incidence of post operative complications and the amount of blood between two groups were not significant difference （P 〉 0. 05 ）. The excellent and good rate of FHR and THR were 90. 9%, 95.0% respectively （ P 〉 0. 05 ）. Conclusion Artificial FHR and the artificial THR can cure femoral neck fractures and are the ideal and reliable methods for treating femoral neck fractures.