人工髋关节置换术治疗老年股骨粗隆间骨折的临床效果

Clinical effect of artificial hip jiont replacement on femoral intertrochanteric fractures in elderly patients

目的探讨人工髋关节置换术治疗老年股骨粗隆间骨折的临床效果。方法选择我院2013年2月至2016年2月收治的40例老年股骨粗隆间骨折患者为研究对象,随机分为对照组与观察组,各20例。观察组患者采取人工髋关节置换术进行治疗,对照组患者采取动力髋螺钉内固定进行治疗,比较两组患者的临床疗效。结果观察组患者的手术时间、术中出血量、住院时间、术后负重时间、骨折愈合时间均明显优于对照组,差异均有统计学意义(P<0.01);两组患者并发症发生率比较,无明显差异(P>0.05);观察组手术优良率为95.0%,显著高于对照组的70.0%(P<0.05)。结论对老年股骨粗隆间骨折患者实施人工髋关节置换术治疗疗效显著,安全性高,术后恢复快,并发症少,值得临床推广应用。

Objective To explore the clinical effect of artificial hip jiont replacement on femoral intertrochanteric fractures in elderly patients. Methods Forty cases of elderly patients with intertrochanter fracture admitted in our hospital from February 2013 to February 2016 were selected and randomly divided into control group and observation group, with 20 cases in each group. The observation group was taken artificial hip jiont replacement, while the control group was taken dynamic hip screw. The clinical effects of two groups were compared. Results The operation time, blood loss, length of stay, weight loading after operation and healing time in observation group were shorter than those of the control group, the differences were statistically significant （P〈0.01）. There was no statistical difference on complications of the two groups （P〉0.05）. In observation group, the excellence rate of operation was 95.0%, which was significantly higher than 70.00% in the control group （P〈0.05）. Conclusion Artificial hip jiont replacement in the treatment of intertrochanter fracture of the elderly patients has high safety, quick recover and less complications, and it is worthy of spreading in clinical practice.