全髋关节置换术治疗老年股骨颈骨折的临床疗效评价

The clinical curative effect evaluation of Total hip replacement in the treatment of senile femoral neck fracture

目的:探讨针对老年股骨颈骨折患者,采用人工股骨头置换与全髋关节置换两种术式的临床疗效差异。方法:选取收治的90例老年股骨颈骨折的临床资料进行分析,全髋关节置换术组45例,人工股骨头置换术组45例,术后12个月,采用Harris评分法评价髋关节功能及并发症发生情况。结果:全髋关节置换术组患者,术后髋关节功能经Harris评分法评价,优良率为86.7%,明显高于人工股骨头置换术组的73.3%,差异具有统计学意义(P<0.05)。人工股骨头置换术组并发症发生率为15.56%;全髋关节置换术组并发症发生率为8.89%,两组比较,差异具有统计学意义(P<0.05)。结论:全髋关节置换术治疗老年股骨颈骨折临床疗效确切,与人工股骨头置换术比较,疗效更好,并发症更少,值得临床推广应用。

Objective to explore for elderly patients with femoral neck fracture,using artificial femoral head replacement and total hip replacement surgery clinical curative effects. Method 90 cases of senile femoral neck fracture were analyzed,and the total hip replacement group 45 cases,femoral head arthroplasty group 45 cases,12 months postoperatively,Harris scoring method was used to evaluate the hip joint function and complications. Results The patients with total hip replacement group,postoperative function by the Harris hip score evaluation method,fine rate was 86. 7%,significantly higher than the 73. 3% of the artificial femoral head replacement group,the difference was statistically significant（ P〈0. 05）. Artificial femoral head replacement group the incidence of complications was 15. 56%;Total hip replacement group complication rate was 8. 89%,the difference was statistically significant（ P〈0. 05）. Conclusion Total hip replacement clinical curative effect of senile femoral neck fracture,compared with artificial femoral head replacement,better efficacy,less complications,worthy of clinical popularization and application.