人工股骨头置换术治疗高龄不稳定性股骨转子间骨折

Treatment of unstable femoral intertrochanteric fracture in elderly patients with hip prosthetic replacement

目的评价高龄患者不稳定性股骨转子间骨折行人工股骨头置换术的临床疗效。方法我院自2006年6月-2009年12月采用人工股骨头置换术治疗高龄不稳定性股骨转子间骨折44例,42例获得随访,进行回顾性研究,采用Harris评分进行评定。结果 44例都顺利通过手术,住院期间无死亡病例,随访时间6~18个月,平均9.2个月,髋关节功能接近或恢复到受伤前水平,生活可自理,2例于出院后5个月、11个月死于其他疾病。结论人工股骨头置换术是治疗高龄不稳定性股骨转子间骨折的较好选择。

Objective To evaluate the clinical effect of hip prosthetic replacement in treating unstable intertrochanteric fractures in senile patients.Methods Totally 44 senile patients with unstable intertrochanteric fractures were treated by hip prosthetic replacement from Jun.2006 to Dec.2009.A total of 42 patients were followed up,and its outcome was evaluated by Harris scoring system.Results Successful operation was achieved in 44 patients,whose hip joint function recovered to the pre-injury level.The follow-up period ranged from 6 to 18 months,averaging 9.2 months.According to Harris standard,the rate of excellent and good was 85.7.Two patients died due to other diseases 5 months and 11 months post-discharge respectively.Conclusion The effect of hip prosthetic replacement has advantages of quick rehabilitation,early full weight bearing and few complications after surgery.It is a proper treatment for senile patients with osteoporosis and unstable femoral intertrochanteric fracture.