人工髋关节置换治疗老年股骨粗隆间骨折的疗效观察

Efficacious observation of artificial prosthetic replacement for the treatment of intertrochanteric fractures in the elderly

目的综合分析我院36例老年骨质疏松性股骨粗隆间骨折人工髋关节置换手术,探讨老年骨质疏松性股骨粗隆间骨折人工髋关节置换手术的经验。方法选择2000-1～2010-12本院老年股骨粗隆间骨折人工髋关节置换手术36例,平均随访6年。回顾性分析老年骨质疏松性股骨粗隆间骨折手术措施,总结老年股骨粗隆间骨折人工髋关节置换术的经验。其中人工股骨头置换术21例,人工全髋关节置换术15例。结果 36例老年患者均进入随访结果分析,髋关节术后Harris评分平均90.3分。结论适应证和假体的选择,围手术期的治疗、并发症的防治及康复是手术成功的必要条件,手术技术是成功的关键。

Objective To investigate the efficacy of artificial prosthetic replacement for the treatment of osteoporotic intertrochanteric fractures in the elderly. Methods Thirty-six cases of elderly unstable intertrochanteric fractures were chosen from January 2000 to December 2010, with an average of 6-year follow up. The surgery skill and experience of prosthetic replacement for the treatment of intertrochanteric fractures were retrospectively analyzed. Twenty-one cases were treated with hemiarthroplasty and 15 cases with total hip replacement. Results All 36 cases had been followed up and the average postoperative Harris hip score was 90.3. Conclusion Indication, prosthesis selection, perioperative care, complication treatment, and rehabilitation are necessary for the surgery. Surgery skill is the key for success.