人工髋关节置换术治疗髋部骨折内固定失败的效果观察

Hip arthroplasty for the treatment of hip fracture internal fixation failure

目的探究人工髋关节置换术治疗髋部骨折内固定失败的效果。方法利用回顾性分析法,选取接受髋部骨折固定失败患者25例进行研究,对固定失败的原因进行分析,观察将人工髋关节置换术应用在患者治疗上的效果。结果经过研究发现,髋部骨折内固定的失败原因主要有骨骼质量、复位不良、内固定技术使用错误等,进行Logistic回归性分析之后发现,骨折类型、骨折质量以及复位程度是造成髋部骨折内固定失败失败的独立危险因素,其中骨骼质量的回归系数为0.720,骨折类型的回归系数为0.421,骨折复位程度的回顾系数为1.350。在进行人工髋关节置换术之后,出现1例患者死亡现象。在经过6个月的随访之后,髋关节功能Harris评分、疼痛评分、行走评分、功能评分、活动评分别为(87.54±5.82)分、(31.27±2.47)分、(26.84±1.06)分、(15.87±1.63)分、(5.03±2.4)分,明显高于手术实施之前,差异具有统计学意义(P<0.05)。结论人工髋关节置换术应用在髋部骨折内固定失败患者的治疗中具有明显的治疗效果,能够有效改善患者的髋关节功能,值得临床推广应用。

Objective To investigate the effect of artificial hip replacement in the treatment of hip fracture with internal fixation.Methods Byretrospective analysis,25cases underwent selected fixation failure in patients with hip fracture were studied,analyzed the reasons of fixed failure,observationof the application of artificial hip replacement in the treatment of patients with the effect.Results After the study found that the hip fractureinternal fixation failure reasons include bone quality,bad reduction,internal fixation with errors,were found after Logistic regression analysis,fracture type,fracture and reduction quality is caused by the independent risk factors for hip fracture internal fixation failure,the regression coefficientof bone quality0.720,the regression coefficient for the0.421types of fracture,the fracture degree review coefficient is1.350.There were1deaths after total hip replacement.After6months of follow-up,Harris hip score,pain score,score,score,walking function rating activities were(87.54±5.82),(31.27±2.47),(26.84±1.06),(15.87±1.63),(5.03±2.4),significantly higher than before surgery,the difference was statistically significant(P<0.05).Conclusion Artificial hip replacement has obvious therapeutic effect in the treatment of failure of internal fixation of hip fracture.It can effectively improve the function of hip joint in patients with hip fracture,and is worthy of clinical application.