74例高龄股骨粗隆间粉碎性骨折加长柄人工关节置换术的治疗体会

Clinical analysis of long-stem prosthetic replacement of aged femoral intertrachanteric fracture in 74 cases

目的分析高龄股骨粗隆间粉碎性骨折加长柄人工关节置换术的临床治疗效果。方法将2010年6月至2012年5月该院收治的高龄股骨粗隆间粉碎性骨折患者74例纳入研究,均接受加长柄人工关节置换术治疗,观察手术情况,术后随访1年,采用髋关节Harris评分评价疗效。结果手术时间(76.32±12.56)min,术中出血量(153.14±25.38)mL,住院时间(18.96±3.38)d。术后随访1年,所有患者切口均达到Ⅰ期愈合,髋关节Harris评分为优54例、良10例、可6例、差4例,优良率86.48%。结论加长柄人工关节置换术对高龄股骨粗隆间粉碎性骨折疗效满意,值得在今后的临床工作中推广应用。

Objective To analyze the clinical therapeutic effect of long-stem prosthetic replacement of aged femoral intertraehanteric fracture. Methods 74 elderly patients with femoral intertrochanteric fracture from 2010 June to 2012 May in our hospital for were enrolled, underwent long-stem prosthetic replacement treatment. The oper- ation situation was observed,with 1 year follow-up. The effect was evaluated according to Harris score. Results The operation time was（76.32±12, 56） rain,amount of bleeding during the operation was（153.14±25.38）mL,and the hospitalization time was（18.96±3.38） d. During the follow-up period of 1 year, all patients achieved primary healing of incision, Hip Harris score was excellent in 54 cases, good in 10 cases,acceptable in 6 cases and poor in 4 cases,and the excellent and good rate was 86.48%. Conclusion Long-stem prosthetic replacement for femoral intertrachanteric fracture could be with satisfied effect,and it might be worthy of popularization and application in clinic in the future.