比较全髋关节置换术和骨折内固定术对于中老年股骨颈骨折的临床疗效

To Compare the Clinical Effect of Total Hip Arthroplasty and Internal Fixation in the Treatment of Femoral Neck Fracture in Elderly Patients

目的比较全髋关节置换术和骨折内固定术对于中老年股骨颈骨折的临床疗效。方法采用随机数字表法将安阳市中医院骨二科2012年3月—2014年6月108例中老年股骨颈骨折患者进行分组,对照组(54例)给予骨折内固定术治疗,观察组(54例)给予人工全髋关节置换术治疗,观察两组并发症发生及术后髋关节Harris评分标准比较,评价两组术式的临床疗效。结果观察组术后并发症总发生率3.70%,低于对照组18.52%,差异具有统计学意义(χ2=4.5938,P=0.0321<0.05);观察组治疗后Harris评分总优良率为87.04%,明显高于对照组的61.11%,差异具有统计学意义(χ2=8.1482,P=0.0043<0.05)。结论对于中老年股骨颈骨折的治疗,全髋关节置换术较骨折内固定术有更好的临床疗效。

Objective To compare the clinical effect of total hip arthroplasty and internal fixation in the treatment of femoral neck fracture in elderly. Methods the random number table method, Anyang City Hospital of traditional Chinese medicine bone; 2012 March — June 2014 of 108 cases of elderly patients with femoral neck fracture patients were divided into two groups, the control group was treated with internal fixation of fracture treatment, the observation group given artificial total hip replacement in the treatment and observation of complications of the two groups and postoperative Harris hip score standard comparison and evaluation of the clinical efficacy of the two groups.Results observation group, postoperative complication occurrence rate 3.70%, lower than that of the control group was 18.52%,the difference is clinical statistical significance(χ2=4.5938, P = 0.0321 < 0.05); observation of the treatment group after Harris score total excellent and good rate was 87.04%, was significantly higher than that of the control group 61.11%,the difference is traditional clinical significant(χ2=8.1482, P = 0.0043 < 0.05). Conclusion for the treatment of femoral neck fracture, total hip arthroplasty compared with internal fixation have better clinical curative effect.