全髋关节置换术治疗老年股骨颈骨折

Total hip arthroplasty in the treatment of elderly patients with displaced femoral neck fractures

目的探讨全髋关节置换术治疗老年股骨颈骨折的疗效。方法采用全髋关节置换术治疗90例老年股骨颈骨折患者,末次随访时采用Harris评分标准评价疗效。结果患者均获得随访,时间6个月～2年。末次随访时Harris评分为70～95分,其中优36例,良42例,可12例,优良率为86. 7%。假体无松动和下沉。结论体质相对良好的老年股骨颈骨折患者,在做好充分术前准备工作后,建议优先选择全髋关节置换术,该术式对进一步提高术后髋关节功能、延长假体使用寿命、降低关节翻修率、延长患者生存期、改善生活质量更为有利。

Objective To investigate the effect of total hip arthroplasty in the treatment of femoral neck fractures in the elderly.Methods The 90 elderly patients with femoral neck fractures were treated with total hip arthroplasty.The Harris score was used to evaluate the curative effect at the last follow-up.Results All patients were followed up from 6 months to 2 years.At the last follow-up,the Harris score was 70~95 points,of which 36 cases were excellent,42 good,12 fair,and the excellent and good rate was 86.7%.There was no loosening and sinking of the prosthesis.Conclusions It is suggested that total hip arthroplasty should be preferred after adequate preoperative preparation for patients with relatively good constitution of the femoral neck fracture,which is more favorable for further improving the function of the hip joint,prolonging the life of the prosthesis,reducing the rate of refurbishment,prolonging the life period of the patients and improving the quality of life.