骨水泥型人工股骨头置换治疗老年不稳定股骨转子间骨折

Curative effects using cemented artificial femoral head arthroplasty for unstable intertrochanteric fracture in elderly patients

目的探讨人工股骨头置换治疗老年不稳定股骨转子间骨折的临床效果。方法对17例老年不稳定股骨转子间骨折患者行骨水泥型股骨头置换及转子间重建,术后早期进行功能锻炼。结果手术时间55～95 min,术中出血量100～500 ml。1例术后出现下肢静脉血栓。17例均获随访,时间8～21个月。末次随访髋关节功能Harris评分:优8例,良6例,可2例,差1例。结论应用骨水泥人工股骨头置换治疗不稳定股骨转子间骨折,可缩短患者卧床时间,减少并发症发生;早期进行患髋功能锻炼,有利于康复,且疗效可靠。

Objective To explore the clinical effect of artificial femoral head arthroplasty on unstable intertrochanteric fracture of femur in the elderly patients. Methods 17 cases of the femoral neck fractures in elderly patients was treated with bone cement prosthetic femoral head replacement and intertrochanteric reconstruction. The patients did earliest rehabilitation exercise after operation. Results The operation time was 55 - 95min, the intraoperative blood loss was 100 -500 ml. 1 case got involved deep vein thrombosis in lower limb. 17 cases were followed up for 8 - 21 months. According to the final Harris hip function score,8 cases were excellent, 6 good, 2 fair, and 1 poor. Conclusions Cemented prosthetic femoral head replacement in the treatment of intertrochanteric femoral fractures can shorten the time in bed, reduce the complications, provide early stage of hip functional exercise to rehabilitation. The curative effect is reliable.