摘要
目的评价老年不稳定性股骨转子间骨折的临床疗效和术后康复效果。方法82例老年不稳定性股骨转子间骨折患者,女48例,男34例,年龄72~102岁,平均(79.6±7.8)岁。所有患者均有外伤史。骨折按Tronzo-Evans分型,Ⅲ型49例,Ⅳ型33例。均采用人工股骨头置换术。术后观察测量患肢疼痛视觉模拟(VAS)评分、Harris及生存质量评分,进行统计学比较。结果术后65例获得3—48月随访,中位随访时间为21月。手术前和术后1d、3d、1周疼痛VAS评分有统计学差异;术后12周,Harris评分优良率为84.6%;生存质量显著性改善。结论.人工关节置换手术是治疗老年不稳定性股骨转子间骨折较为合理的手术方法,积极预防并发症,加强支持治疗,是术后康复的必要保证。
Objective To evaluate the clinical effects of femoral head replacement for unstable femoral intertrochanteric fractures and postoperative rehabilitation in the elderly patients. Methods The study included a total of 82 patients (48 females and 34 males) with unstable intertrochanteric fracture. The mean age of the patient was 84. 3 years (72 to 102 years). All patients had trauma history. All fractures were classified using the Tronzo-Evans classification, with 49 cases of type Ⅲ and 33 cases of type Ⅳ respectively. All the patients were treated with femoral head replacement. The visual analogue scale (VAS) score, Harris score and quality of life score were used to assess the functional outcome. Results 65 Patients were followed up at 3-48 months after the operation. The median follow-up time was 21 months. The mean VAS score was significanly different 1 d, 3 d and 7 d after the operation. The mean Harris score was 87±4. 07 12 weeks after the operation. Conclusions The femoral head replacement is an appropriate treatment for the elderly patients with osteoporo- sis and unstable femoral intertrochanteric fracture. Prevention of complications and the support treatment is necessary for postoperative rehabilitation.
出处
《实用老年医学》
CAS
2014年第7期547-549,共3页
Practical Geriatrics
基金
陕西省卫生厅科研基金项目资助(2012A1)
关键词
股骨转子间骨折
老年
关节置换
临床疗效
Femoral intertrochanteric fracture
senile
Prosthetic replacement
Clinical effects