髋关节置换术治疗股骨颈骨折62例临床效果观察

目的探讨采用人工髋关节置换术对股骨颈骨折进行治疗的临床效果。方法选取股骨颈骨折患者62例,根据不同患者的情况分别采用全髋关节置换术或者半髋关节置换术进行治疗,对治疗的相关情况和效果进行观察。结果所有患者在治疗出院后均随访12个月以上,平均手术时间为(52.5±8.7)min,术中平均出血量为(242.7±22.4)m L,术后平均住院时间为(20.5±4.1)d,经采取适当的治疗措施后,治疗效果为优的25例,构成比为总数的40.3%,效果为良的32例,构成比为总数的48.9%,治疗的优良率为89.2%。结论根据患者实际情况选择全髋关节或半髋关节置换术对股骨颈骨折进行治疗是临床上较为有效的方法,有利于患者恢复关节功能活动,提高术后的生活质量。

Objective To observe the clinical effects of hip arthroplasty for femoral neck fracture. Methods 62 cases of femoral neck fracture patients were selected and treated by total hip replacement arthroplasty or semi-hip arthroplasty. The clinical efficacy and surgery-related situation were observed. Results All patients were followed up over 12 months. The mean amount of bleeding was (242.7±22.4) mL, operative time was(52.5±8.7) min and length of stay was (20.5±4.1)d. The efficacy of 25 cases was excellent, and the rate was 40.3%. The rate of good was 48.9%. The excellent and good rates were 89.2%. Conclusion Hip arthroplasty is effective method for the treatment of femoral neck fracture. The selection of total hip or semi-hip arthroplasty is on the basis of the actual situation of the patients. It is benefit for restoring functional activity and improves the quality of life of patients.