全髋关节置换术对于股骨颈骨折的老年患者适用性研究

Study on the applicability of total hip arthroplasty in elderly patients with femoral neck fracture

目的研究全髋关节置换术对于股骨颈骨折老年患者的适用性。方法回顾性分析本院2012年1月—2014年1月间收治的89例股骨颈骨折老年患者,根据不同治疗术式将患者分为两组,将其中采取人工全髋关节置换术治疗的56例患者纳入全髋组,以将其中采取半髋关节置换术治疗的33例患者纳入半髋组,对比两组患者的手术情况,随访一年评估疗效并统计功能恢复时间以及并发症发生情况。结果半髋组各项手术情况观察指标均优于全髋组,P<0.05;治疗后随访一年,全髋组总有效为96.43%,半髋组总有效率为93.94%,全髋组疗效优于对照组,P<0.05;全髋组并发症发生率为3.57%,半髋组并发症发生率为18.18%,全髋组并发症发生率优于半髋组,P<0.01。结论全髋关节置换术治疗股骨颈骨折老年患者适用性高于半髋关节置换术,可考虑作为老年患者的首选术式加以推广。

Objective To study the applicability of total hip arthroplasty in elderly patients with femoral neck fracture. Methods A retrospective analysis of 89 cases of elderly patients with femoral neck fracture in our hospital was made from January 2012 to January 2014,according to different surgical methods. The patients were divided into two groups,among them 56 cases of total hip arthroplasty were in the total hip group,and 33 cases of hip replacement were in the semi hip arthroplasty group. To compare the surgery condition,one year of follow-up evaluation of occurrence curative effect was made and added up the function recovery time and complications in the two groups. Results The surgical observation indicators in the semi arthroplasty group were better than the total hip group,P〈0. 05; follow-up one year after the treatment,the total effective rate of the total hip group was 96. 43%,that in the semi hip arthroplasty group was 93. 94%,thus the curative effect of the total hip group was better than the control group,P〈0. 05; The incidence of complications of the total hip arthroplasty group was 3. 57%,that in the semi hip arthroplasty group was 18. 18%,thus the incidence of complications of the total hip group was better than the semi hip group,P〈0. 01. Conclusion The adaptability of the total hip arthroplasty in the treatment of elderly patients with femoral neck fractures is better than the semi hip replacement surgery,and it may be considered as the first choice for the elderly patients to promote.