后外侧微创入路人工双动股骨头置换治疗高龄股骨颈骨折的疗效观察

Curative effect observation of artificial double action femoral head replacement in the minimally invasive posterior lateral approach in the treatment of elderly patients with femoral neck fracture

目的:探讨后外侧微创入路人工双动股骨头置换治疗高龄股骨颈骨折的临床效果。方法:收治高龄股骨颈骨折患者90例,随机分为观察组和对照组各45例,两组均接受后外侧微创入路人工双动股骨头置换手术治疗。术中,观察组对外旋肌群进行缝合,对照组不缝合外旋肌群,比较两组的治疗效果。结果:观察组的术后疼痛时间、术后第1次下床活动时间及下肢脱位及内旋发生率均明显低于对照组(P<0.05)。结论:对高龄股骨颈骨折患者实施后外侧微创入路人工双动股骨头置换的治疗效果满意,术中对外旋肌群进行缝合,可降低下肢脱位及内旋发生率,改善预后。

Objective:To explore the curative effect of artificial double action femoral head replacement in the minimally invasiveposterior lateral approach in the treatment of elderly patients with femoral neck fracture.Methods:90 elderly patients with femoralneck fracture were selected.They were randomly divided into the observation group and the control group with 45 cases in each.Two groups all accepted artificial double action femoral head replacement in the minimally invasive posterior lateral approach.During the operation,in the observation group,external rotators were sutured,and in the control group,and external rotators did notbe sutured.We compared the therapeutic effect of the two groups.Results:In the observation group,the time of postoperative pain,the first time of activity under the ground after operation,the incidence of lower limb dislocation and internal rotation weresignificantly lower than those in the control group(P<0.05).Conclusion:The curative effect of artificial double action femoral headreplacement in the minimally invasive posterior lateral approach in the treatment of elderly patients with femoral neck fracturewas better.During the operation,the suture of external rotator group can reduce the incidence of lower limb dislocation and internalrotation and improve the prognosis.