期刊文献+

高龄股骨粗隆间粉碎性骨折47例临床分析

Clinical Analysis of 47 Senile Patients with Intertrochanteric Femoral Comminuted Fracture
下载PDF
导出
摘要 目的:探讨高龄股骨粗隆间粉碎性骨折的治疗方法及其疗效。方法:回顾性分析2008年3月-201 1年12月分别采用经皮加压钢板(PCCP)内固定和人工股骨头置换治疗的高龄股骨粗隆间粉碎性骨折患者47例的临床资料,比较PCCP组(n=19)和人工股骨头置换组(n=28)的手术时间、出血量、住院时间和髋关节功能。结果:PCCP组的手术时间、出血量明显少于人工股骨头置换组,但住院时间明显长于人工股骨头置换组,P均<0.05;PCCP组和人工股骨头置换组术后1年髋关节功能的优良率分别为94.7%(18/19)和92.9%(26/28),无显著性差异,P>0.05。结论:PCCP内固定和人工股骨头置换治疗高龄股骨粗隆间粉碎性骨折均有效,须严格掌握其适应证和术中操作技巧。 Objective:To explore the treatment methods and the clinical effect for senile patients with intertroehanteric femoral comminuted fracture. Methods :The clinical data of senile patients with intertrochanteric femoral comminuted fracture treated by PCCP and artificial femoral head replacement from Mar 2008 to Dec 2011.The operation duration, blood loss, hospitalization time and hip joint function were compared between the PCCP group(n= 19) and artificial femoral head replacement group (n=28). Results:Compared with the artificial femoral head replacement group, the operation duration ,blood loss were significantly lower and hospitalization time longer in the PCCP group. The rate of good functional restoration was 94.7% (18/19) in the PCCP group, and 92.9%(26/28) in the artificial femoral head replacement group after operation 1 year. The clinical effect was no significant different between the two groups, P〉0.05. Conclusion: Both PCCP or artificial femoral head replacement are effective to senile patients with intertrochanteric femoral comminuted fracture, but the indications and techniques of the operation must be pay attention to.
出处 《岭南急诊医学杂志》 2013年第4期281-282,294,共3页 Lingnan Journal of Emergency Medicine
关键词 股骨粗隆间粉碎性骨折 老年人 经皮加压钢板 人工股骨头置换 疗效 intertroehanteric femoral comminuted fracture senior people PCCP artificial femoral head replacement clinic effect
  • 相关文献

参考文献5

  • 1Ristic B, Ristic DI, Milicic B, et al. Factors which influence postoperative mortality after hip fracture [J]. Vojnosanit Pregl, 2006, 63 ( 1 ) : 49.
  • 2Peyser A, Weil YA, Brocke L, et al. A prospective, randomized study comparing the percutaneous compression plate and the compression hip screw for the treatment of intertrochanteric fractures of the hip [J]. J Bone Joint Surg Br, 2007,89(9):1210.
  • 3Little N J, Verma V, Femando C, et al. A prospective trial comparing the Holland nail with the dynamic hip screw in the treatment of intertrochanteric fractures of the hip[J].J Bone Joint Surg Br, 2008, 90(8):1073.
  • 4张惠法,王培民,戴庆生,许建安.假体置换术治疗高龄股骨粗隆间粉碎性骨折[J].中国中医骨伤科杂志,2007,15(4):44-46. 被引量:11
  • 5李军民,黎云冲,杨绍文.老年人股骨粗隆部骨折应用人工髋关节置换的效果观察[J].中国矫形外科杂志,2008,16(4):305-307. 被引量:14

二级参考文献16

共引文献23

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部