人工股骨头置换治疗老年股骨颈骨折-骨水泥与非骨水泥型假体的比较

Cemented versus uncemented hemiarthroplasty in the treatment of femoral neck fractures in elder patients

目的对比骨水泥型和非骨水泥型两种假体在治疗股骨颈骨折中的应用差别。方法回顾了本机构近3年65岁以上股骨颈骨折实施人工股骨头置换的病例共221例,按应用骨水泥型和非骨水泥型假体进行分组。随访时间为1、3、6、12个月。比较两组间的手术时间、出血量、并发症发生率、术后下地时间、髋关节Harris评分等。结果两组在手术时间、术中并发症及下地时间存在差异,出血量、输血量、术后并发症及功能评分无差异。结论两种假体都能很好的应用于股骨颈骨折的治疗,需注意围手术期并发症的发生。

Objective To compare the functional outcomes between cemented and uncemented hemiarthroplasty in the .treatment of the elderlywith femoral neck fractures.Methods A total of 221 patients older than 65years with acute femoral neck fractures treated with hemiarthroplasty in the past 3 years were retrospectively studied.They were divided into groups according to the application of cemented or uncemented prosthesis.The follow-up was performed at 3,6,and 12 months after the operation.The operation time,,bleeding,complications,time to walk after surgery,and Harris hip score (HHS)were determined and compared between the groups.Results There were differences in mean operation time,intraoperative complications,and time to walk,but no differences in bleeding,complications,and HHS scores between the two groups.Conclusion Both prostheses maywell use in the treatment of femoral neck fractures.Attention should be paid in the perioperative complications.