髋关节置换术后股骨假体周围骨折治疗效果分析

Analysis Hip Replacement Periprosthetic Fractures of Femur after Treatment Effect

目的:探讨髋关节置换术后股骨假体周围骨折的治疗效果。方法:选择54例行髋关节置换术后出现股骨假体周围骨折的患者,按随机数字表法分为观察组与对照组,观察组27例行锁定钢板内固定治疗,对照组27例行合金记忆形状环抱器内固定治疗。结果:治疗后,两组患者均随访9～22个月,观察组骨折愈合时间9～22个月,患侧肢体的负重恢复时间4～7.8个月,髋关节功能评分(84.67±8.96)分;对照组骨折愈合时间12～24个月,患侧肢体的负重恢复时间6～10.5个月,髋关节功能评分(72.12±8.78)分,差异有统计学意义(P<0.05)。结论:髋关节置换术后给予患者行锁定钢板内固定治疗股骨假体周围骨折效果显著,术后髋关节功能评分优于合金记忆形状环抱器内固定,值得临床推广应用。

Objective：To discuss therapeutic effect of around the femoral prosthesis fracture after hip replacement.Method：To choose 54cases of patients hip in patients with femoral fracture around the prosthesis,according to random number table method divided into observation group and control group,the observation group and routine locking plate internal fixation treatment,control group and regular shape memory alloy embracing internal fixation treatment. Result：The two groups of patients were followed up for 9-22 months in after treatment,the observation group fracture healing time was 9-22 months,the weight recovery time of the affected limb 4-7.8 months,hip score（84.67±8.96）,and control group with fracture healing time was 12-24 months,the weight recovery time of the affected limb 6-10.5 months hip score（72.12±8.78）,the difference was statistically significant（P ＆lt;0.05）. Conclusion：The hip arthroplasty give to patients locking plate fixation of periprosthetic femoral fractures significant postoperative hip score better than the alloy shape memory embracing fixed,is worthy to carry out the promotion of clinical application.