老年人股骨粗隆部粉碎性骨折采用人工髋关节置换治疗的临床效果

The clinical effect of artificial hip joint replacement on treating intertrochanteric comminuted fractures of elderly patients

目的分析并研究老年人股骨粗隆部粉碎性骨折采用人工髋骨关节置换治疗的临床效果。方法将2012年6月—2014年4月收治的40例患有股骨粗隆部粉碎性骨折患者作为临床研究对象,采用随机数字法将其分为两组,对照组采用常规方式髋螺钉固定治疗,实验组采用人工髋关节进行治疗,对两组的治疗效果和安全性进行比较。结果实验组采用人工髋关节置换治疗的总有效率为90.0%,对照组采用常规方式治疗的的总有效为65.0%,其中实验组明显高于对照组的总有效率25.09%,差异有统计学意义(P<0.05)。结论对于患有股骨粗隆粉碎性骨折的患者采用人工髋关节置换治疗的效果较好。患者术后生活工作能力显著增强,患者和家属的满意度高,值得临床进一步推广使用。

Objective To analyze and study the clinical effect of artificial hip joint replacement on treating intertrochanteric com-minuted fractures of elderly patients. Methods Selected 40 patients with intertrochanteric comminuted fracture patients as clinical research object, they were randomly divided into two groups, the control group used the conventional way of hip screw fixation , experimental group used artificial hip joint, compared two groups ’ curative effect and safety. Results The total efficiency of exper-imental group used hip arthroplasty was 90%, and 65% in the control group used the conventional way , the total efficiency of ex-perimental group was significantly 25.09%higher than control group, the difference had statistically significant （P〈0.05）. Conclu-sion Artificial hip joint replacement has better efficiency for patients with intertrochanteric comminuted fracture. It significantly enhances patients ’ ability to live and work after surgery,satisfaction of patients and family is high,so it is worth to be popularized in clinic.