前外侧小切口微创人工股骨头置换治疗老年股骨颈骨折32例疗效分析

On Curative Effect on Femoral Neck Fracture in Elderly Patients with Artificial Femoral Head Replacement through a Minimally Invasive Anterior-lateral Approach

目的:观察经前外侧小切口微创人工股骨头置换对老年股骨颈骨折的疗效。方法:对32例年龄70岁～85岁,平均年龄79岁老年人股骨颈骨折,行经髋前外侧入路人工股骨头置换术,其中7例为陈旧性骨折,术前均行骨牵引1～2周。结果:手术切口长6.5～9.0cm,手术时间60～9Omin,术中出血量15O～500ml。前外侧小切口入路行人工股骨头置换术对老年患者是较理想的手术入路,术具有创伤小、出血少、恢复快等优点,手术切实可行,但应有严格的手术指征和熟练的操作技术。

Objective：To observe the curative effect on femoral neck fracture in elderly patients with artificial femoral head replacement through a minimally inva- sive anterior- lateral approach. Methods：32 elderly patients between the ages of 70 and 85, with an average age of 79, underwent femora/ head replacement through the anterolatcral approach to the hip joint. 7 cases were old fractures and were treated with skeletal traction 1 to 2 weeks. Results： Mean incision length ranged from 6.5 to 9. 0cm. Mean overall operative time ranged from 60 to minutes ,and mean blood loss ranged from 150 to 500ml. Postoperative drainage was used in every case. No local and general complications were observed. After a follow up of 6 - 12 months, the patients were returned to full weight bearing walking after the operation. Conclusion：It~ a good approach for elderly patients,which shows advantages in operative trauma, blood loss, and postoperative recovery time. This approach is a feasible and reliable treat- ment,but during which the strict operation indication and the skillful surgical technique must be controlled.