比较人工髋关节置换术、骨折内固定术治疗老年患者 转子间骨折的效果

Objective to Compare the Effect of Hip Arthroplasty and Internal Fixation in the Treatment of Intertrochanteric Fractures in Elderly Patients

目的比较在治疗老年股骨转子间骨折时分别采用人工髋关节置换术、骨折内固定术的不同疗效。方法回顾性分析黄山市黄山人民医院2016年4月至2019年4月收治的112例老年股骨转子间骨折患者临床资料,根据治疗方式分为2组,各56例。置换组采取人工髋关节置换术治疗,内固定组采取骨折内固定术治疗。对比2种不同治疗方法的应用效果。结果置换组患者手术用时长于内固定组,术中出血量多于内固定组(P<0.05);置换组骨折愈合时间、住院时间均短于内固定组(P<0.05);置换组优良率87.50%高于内固定组的71.43%,并发症发生率3.57%,低于内固定组的16.07%(P<0.05)。结论人工髋关节置换术治疗老年转子间骨折,患者术后骨折愈合时间、住院时间短于骨折内固定术,同时人工髋关节置换术患者的功能恢复快且安全性高。

Objective To compare the different effects of hip arthroplasty and internal fixation in the treatment of intertrochanteric fractures in the elderly.Methods Totally 112 elderly patients with intertrochanteric fracture in Huangshan people's Hospital from April 2016 to April 2019 were selected and divided into two groups,56 cases in each group.The replacement group was treated with artificial hip replacement,and the internal fixation group was treated with fracture internal fixation.The application effects of two different treatment methods were compared.Results The operation time of the replacement group was longer than that of the internal fixation group,and the intraoperative blood loss was more than that of the internal fixation group(P<0.05);the healing time and hospitalization time of the replacement group were shorter than those of the internal fixation group(P<0.05);the excellent and good rate of the replacement group was 87.50%,which was higher than 71.43%of the internal fixation group,and the incidence of complications was 3.57%which was lower than 16.07%of the internal fixation group(P<0.05).Conclusion In the treatment of intertrochanteric fractures in the elderly,the fracture healing time and hospitalization time of patients with hip arthroplasty are shorter than those of internal fixation.At the same time,the function recovery of patients with hip arthroplasty is fast and safe.