髋关节置换术治疗股骨颈骨折68例临床观察

Clinical observation of hip arthroplasty for 68 cases of femoral neck fracture

目的探讨髋关节置换术治疗股骨颈骨折的临床效果。方法对68例股骨颈骨折的患者,分别采用全髋关节置换术或者半髋关节置换术治疗,观察临床疗效和手术相关情况。结果所有患者均随访18个月以上,平均(40.5±5.4)个月,术中平均出血量为(238.4±27.5)ml,平均手术时间(51.4±10.5)min,平均住院时间(14.8±3.2)d;经过治疗后,24例患者疗效为优,占35.3%;37例为良,占54.4%,治疗的优良率为89.7%。结论髋关节置换术是目前临床上治疗股骨颈骨折较为有效的方法,根据患者的实际情况,选择全髋关节或者半髋关节置换术,有助于患者恢复功能活动,提高患者生活质量。

Objective To investigate the clinical effects of hip arthroplasty for femoral neck fracture.Methods 68 cases of femoral neck fracture patients in our hospital from January 2005 to January 2010 were selected and treated by total hip replacement arthroplasty or semi-hip arthroplasty.The clinical efficacy and surgery-related situation were observed.Results All patients were followed up over 18 months,for average of（40.5±5.4） months.The mean amount of bleeding was（238.4±27.5） ml,operative time was（51.4±10.5） min and length of stay was（14.8±3.2） d.The efficacy of 24 cases was excellent,and the rate was 35.3%.The rate of good was 54.4%.The excellent and good rates were 89.7%.Conclusions Hip arthroplasty is clinically more effective method for the treatment of femoral neck fracture.The selection of total hip or semi-hip arthroplasty is on the basis of the actual situation for the patients.It is conducive to restore functional activity and improve the quality life of patients.