高龄股骨颈骨折患者人工股骨头置换分析

Analysis of Treatment of Femoral Neck Fracture in the Old-aged

目的：观察和分析人工股骨头置换术治疗高龄股骨颈骨折的效果。方法：对７０岁以上高龄股骨颈骨折６７例，施行了人工股骨头置换术。结果：６７例平均随访１年１０月，按美国Ｈａｒｒｉｓ标准从疼痛、功能、关节活动及畸形四个方面进行临床效果评定，优２３例、良２８例、中１３例、差３例，其中优良率达７６．１％。结论：人工股骨头置换术是治疗高龄股骨颈骨折的理想方法。

Objective:To observe and analyse the outcome of artificial femoral head replacement on the treatment of femoral neck fracture in the old-aged. Methods:Artificial femoral head replacement was performed in 67 patients -over 70 years. Results:Averagely all cases were followed up in 22 months. Clinical evaluation was made from four aspects according to Harris criteria including pain,function,joint activity and deformity. It is excellent in 23 cases,good in 28 cases .fair in 13 cases and poor in 3 cases,with 76. 1% excellent and good results. Conclusion:Artificial femoral head replacement is an effective method for treatment of patients in the old-aged with femoral neck fracture.