人工股骨头置换与动力髋螺钉治疗老年股骨粗隆间骨折疗效比较

Comparative study of artificial femoral head replacement with dynamic hip screw internal fixation of aged patients with femoral intertrochanteric fracture

目的比较人工股骨头置换与动力髋螺钉(DHS)治疗老年股骨粗隆间骨折的疗效。方法 97例老年股骨粗隆间骨折患者按照治疗方法分为人工股骨头置换组(48例)和DHS组(49例),比较两组手术时间、术中出血量、术后下床活动及住院时间、术后Harris髋关节功能评分及并发症情况。结果与DHS组比较,人工股骨头置换组手术时间长,术中出血量大,术后下床活动时间早(P<0.05),术后髋关节功能优良率高(P<0.05),术后并发症发生率低(P<0.05),住院时间差异无统计学意义(P>0.05)。结论人工股骨头置换治疗老年股骨粗隆间骨折术后下床活动早、髋关节功能恢复好、并发症少,值得临床推广应用。

Objective To compare the therapeutic effect Of artificial femoral head replacement and dynamic hip screw （DHS） on aged femoral intertrochanteric fracture. Methods A total of 97 aged femoral intertrochanteric fracture were divid- ed into artificial femoral head replacement group （n = 48） and DHS group （n = 48）. The operation time, perioperative blood, postoperative time in bed, hospital stay time, postoperative Harris scores and complications between two groups were compared. Results Compared with DHS group, artificial femoral head replacement group had longer operation time, more perioperative blood and shorter postoperative time in bed （P 〈 0.05）, higher good rate of Harris scores and less complica- tions （P 〈 0.05）, but showed no statistical difference in hospital stay time （P 〉 0.05）. Conclusion Artificial femoral head replacement is characterized by early postoperative time in bed, good recovery of function for hip joint and small complica- tions, thus worthy of extensively applied in clinic.