人工股骨头置换治疗高龄股骨转子间骨折疗效观察

Efficacy of Artificial Femoral Head Replacement in the Treatment of Intertrochanteric Fractures in the Elderly

目的探究人工股骨头置换治疗高龄股骨转子间骨折疗效。方法选取我院收治的76例高龄股骨转子间骨折患者,依据手术方案不同分为观察组与对照组,各38例。观察组应用人工股骨头置换术,对照组应用防旋型股骨近端髓内钉术。比较两组患者临床效果及并发症发生率。结果观察组临床总有效率为97.4%,优于对照组的73.7%,差异有统计学意义(P<0.05);观察组并发症发生率为2.6%,低于对照组的21.1%,差异有统计学意义(P<0.05)。结论对高龄股骨转子间骨折患者予以人工股骨头置换术治疗,效果显著,且安全性较高,在临床治疗中具有重要意义。

Objective To explore the effect of artificial femoral head replacement in the treatment of intertrochanteric fracture in elderly patients. Methods 76 cases of elderly patients with intertrochanteric fracture in our hospital were selected, according to the different operation scheme was divided into observation group and control group, 38 patients in each group. Observation group using artificial femoral head replacement, the control group was treated with anti rotation proximal femoral nail. The clinical effect and complication rate were compared between the two groups. Results The clinical total effective rate of observation group was 97.4%, better than that of the control group 73.7%, the difference was statistically significant （P〈0.05）. The complication rate of observation group was 2.6%, which was significantly lower than that of the control group 21.1%, the difference was statistically significant （P〈0.05）. Conclusion Artificial femoral head replacement for the treatment of intertrochanterie fractures in the elderly, the effect is obvious, and the safety is high, and has important significance in clinical treatment.