全髋与半髋关节置换术治疗老年人股骨颈骨折效果的对照分析被引量：3

Comparative analysis of the effect of total hip replacement and hemiarthroplasties in the treatment of femoral neck fractures in the elderly

下载PDF

导出

摘要目的:对应用全髋置换术和应用半髋关节置换术治疗老年股骨颈骨折的效果进行对比、分析。方法:收治老年股骨颈骨折患者98例,随机分成两组,观察组行全髋关节置换术治疗,对照组行半髋关节置换术治疗,对两组术后疗效等情况进行比较。结果:观察组的术中出血量及手术时间均高于对照组,髋关节功能恢复时间、并发症及疼痛率明显小于对照组,差异具有统计学意义,P<0.05。结论:全髋和半髋关节置换术均具有较好的疗效,全髋关节置换术更具优势,可以作为治疗老年股骨颈骨折的首选方式。 Objective:To make a comparative analysis of the effect of total hip arthroplasty and application of hemiarthroplasties in the treatment of femoral neck fractures in the elderly.Methods:98 elderly patients with femoral neck fractures were selected.They were randomly divided into two groups.The patients in the observation group were treated with total hip replacement,and patients in the control group were treated with hemiarthroplasties.We compared the efficacy of the two groups.Results:The amount of bleeding and operation time in the observation group were higher than those in the control group.The recovery time of hip joint function,complications and pain rate were significantly less than those of the control group.The differences were statistically significant,P<0.05.Conclusion:The total hip replacement and hemiarthroplasties surgery have good effect,and total hip replacement is more advantageous.It can be used as the preferred method for the treatment of femoral neck fractures in the elderly.

作者刘波 Liu Bo(Jiren Orthopaedic Hospital,Yinjiang,Guizhou Province 555200)

机构地区贵州省印江济仁骨科医院

出处《中国社区医师》 2016年第4期54-55,共2页 Chinese Community Doctors

关键词全髋置换术半髋关节置换术老年股骨颈骨折 Total hip replacement Hemiarthroplasties Femoral neck fractures in the elderly

分类号 R687.4 [医药卫生—骨科学]

引文网络
相关文献

参考文献1

1张清华,张光武,栗剑,刘家帮,吴四军,张昆,姚洪春,阚金富,李冬.全髋与半髋关节置换术治疗老年移位股骨颈骨折的疗效分析[J].临床和实验医学杂志,2015,14(8):680-682. 被引量：26

二级参考文献17

1Yu L, Wang Y, Chen J. Total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fractures : meta - analysis of randomized trials [ J]. Clin Orthop Relat Res, 2012,470 (8) :2235 -2243.
2Ullmark G. Femoral head fractures : hemiarthroplasty or total hip arthro- plasty[ J] ? Hip Int, 2014,24 Suppl 10:e12 - 14.
3Rogmark C, Johnell O. Primary arthroplasty is better than internal fixa- tion of displaced femoral neck fractures : a meta - analysis of 14 random- ized studies with 2,289 patients [ J ]. Acta Orthop, 2006,77 ( 3 ) : 359 - 367.
4Iorio R, Schwartz B, Macaulay W, et al. Surgical treatment of dis- placed femoral neck fractures in the elderly: a survey of the American Association of Hip and Knee Surgeons [ J ]. J Arthoplasty, 2006,21 (8) :1124 - 1133.
5Mouzopoulos G, Stamatakos M, Arabatzi H, et al. The four - year func- tional result after a displaced subcapital hip fracture treated with three different surgical options [ J ]. Int Orthop, 2008,32 ( 3 ) :367 - 373.
6Van den Bekerom MP, Hilverdink EF, Siemveh IN, et, 81. A compari- son of hemiarthroplasty with total hip replacement for displaced intracap- sular fracture of the femoral neck: a randomised controlled muhicentre trial in patients aged 70 years and over[J]. J Bone Joint Surg Br, 2010 ;92(10) : 1422 - 1428.
7Hedbeck CJ, Enocson A, Lapidus G, et al. Comparison of bipolar hemiarthroplasty with total hip arthroplasty for displaced femoral neck fractures : a concise four - year follow - up of a randomized trial [ J ]. J Bone Joint Surg Am, 2011,93 ( 5 ) :445 - 450.
8Goh SK, Samuel M, Su DH, et al. Meta - analysis comparing total hip arthroplasty with hemiarthreplasty in the treatment of displaced neck of femur fracture [ J ]. J Axhroplasty, 2009,24 ( 3 ) :400 - 406.
9吴梅祥,白波,钱东阳,董伟强,吴景明,余楠生,林志雄,卢伟杰.高龄老年人股骨颈骨折人工全髋与半髋关节置换术的选择[J].中华关节外科杂志（电子版）,2009,3(3):27-29. 被引量：39
10戴腾.全髋和半髋置换治疗老年股骨颈骨折的比较研究[J].实用骨科杂志,2010,16(3):174-176. 被引量：32