人工股骨头置换术治疗老年人股骨粗隆间骨折疗效观察

Observation on the effect of prosthetic replacement for the management of intertrochanteric fractures in olderly patients

目的探讨人工股骨头置换术治疗老年股骨粗隆间骨折的方法与疗效。方法应用人工股骨头置换治疗老年股骨粗隆间骨折24例。骨折按Evans分型，Ⅱ型4例，Ⅲ型16例，Ⅳ型4例。结果24例患者术后平均下床时间为（6．0±2．2）d。随访6—27个月，平均12个月，无假体松动、感染。髋关节功能按Harris评分优良率为83．3％。结论人工股骨头置换是治疗老年人股骨粗隆间骨折的有效手段，可明显减少卧床时间及并发症的发生。

Objective To explore the method and effect of prosthetic replacement for the management of intertroehanteric fracture in the elderly. Methods 24 elderly patients with intertrochanteric fracture were treated with prosthetic replacement. According to the Evans classification, there were 4 cases of Evans Ⅱ , 16 Evans Ⅲ and 4 Evans Ⅳ. Results The mean time to ambulation following the surgery was （6.0 ± 2.2 ） days. No prosthetic loosening or in- fection were observed in the follow-up of 6 to 27 months （average 12 months）. According to the Harris hip score, the excellent and good rate was 83.3%. Conclusion Prosthetic replacement is safe and effective for intertroehanteric fractures in elderly patients,which allows early ambulation and have a relatively low rate of complications.