闭合复位动力髋螺钉内固定与全髋关节置换术治疗老年股骨颈骨折的疗效比较被引量：32

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摘要目的比较闭合复位动力髋螺钉(DHS)内固定与人工全髋关节置换术(THA)治疗老年股骨颈骨折的临床疗效。方法回顾性分析自2013-12—2015-11诊治的141例老年股骨颈骨折,其中72例采用闭合复位DHS内固定治疗(DHS组),69例采用THA手术治疗(THA组)。比较2组手术时间、术中出血量、末次随访时髋关节功能Harris评分。结果DHS组随访时间为(51.6±6.8)个月,THA组随访时间为(52.9±5.3)个月。DHS组手术时间明显短于THA组,术中出血量明显少于THA组,差异有统计学意义(P<0.05)。DHS组与THA组末次随访时髋关节功能Harris评分比较差异无统计学意义(P=0.179)。结论与THA手术相比,闭合复位带螺旋刀片的DHS内固定治疗老年股骨颈骨折手术创伤小、固定可靠,为骨折部位提供足够的稳定性及支撑力,进而能够解剖重建髋关节结构,恢复患肢功能。

作者鲁学良孙天宇石辉辉高航飞刘世琼王丰耀崔永光熊明月

机构地区河南科技大学第一附属医院骨科

出处《中国骨与关节损伤杂志》 2020年第8期814-816,共3页 Chinese Journal of Bone and Joint Injury

基金河南省基础与前沿技术研究计划项目(132300410469)。

关键词股骨颈骨折老年动力髋螺钉内固定全髋关节置换术

分类号 R687.3 [医药卫生—骨科学]

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参考文献3

1李骥,帅永明,涂淑强,曾凡辉.空心钉内固定联合鲑鱼降钙素治疗老年股骨颈骨折的疗效观察[J].中国骨与关节损伤杂志,2019,34(8):831-832. 被引量：3
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