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人工全髋关节置换术与股骨头置换术治疗高龄股骨颈骨折的对比研究

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摘要 目的:对比分析人工全髋关节置换术与股骨头置换术治疗高龄股骨颈骨折的疗效。方法:选取高龄股骨颈骨折患者90例,根据患者意愿分为对照组42例,全髋组48例。对比两组患者的手术时长、术中出血量、术后引流量、术后住院天数、术后髋关节(Harris)功能评分及并发症发生率。结果:对照组患者的手术时长、术中出血量、术后引流量、术后住院天数均低于全髋组,但术后2个月、5个月、1年的全髋组的Harris评分均高于对照组,且术后并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论:人工全髋关节置换术与股骨头置换术治疗高龄股骨颈骨折相比,并发症少、远期疗效更好、关节功能恢复更佳,但股骨头置换术的手术基本情况及伤口恢复更胜一筹,二者皆有优点,术前应加强患者的综合评估,个性化选择手术方案。
作者 刘雪剑
出处 《山西卫生健康职业学院学报》 CAS 2022年第5期30-32,共3页 Journal of shanxi health vocational college
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  • 1张伟强,祁宝昌,邓鹏飞,陈登山,杨田野,孙大辉.老年股骨粗隆间骨折治疗的临床进展[J].中国老年学杂志,2015,35(1):266-268. 被引量:100
  • 2Parker MJ,Gurusamy KS,Azegami S. Arthroplasties (with and with- out bone cement) for proximal femoral fractures in adults [J] Cochrane Database Syst Rev,2010,16(6) :CD001706.
  • 3Parker MJ ,Khan RJ,Crawford J, et al. Hemiarthroplasty versus in- ternal fixation for displaced intracapsular hip fractures in the elder- ly:a randomised trial of 455 patients [J]. J Bone Joint Surg(Br), 2002,84(8) : 1150-1155.
  • 4Bhandari M,Devereaux PJ ,Tometta P 3rd,et al. Operative manage- ment of displaced femoral neek fractures in elderly patients. An in- ternational survey[J]. J Bone Joint Surg(Am) ,2005,87(9) :2122-2130.
  • 5van den Bekerom MP, Hilverdink EF,Sierevelt IN, eta/. A compari- son of hemiarthroplasty with total hip replacement for displaced in- tracapsular fracture of the femoral neck:a randomised controlled muhieentre trial in patients aged 70 years and over [J]. J Bone Joint Surg(Br),2010,92 (10): 1422-1428.
  • 6Yu L,Wang Y,Chen J. Total hip arthroplasty versus hemiarthro- plasty for displaced femoral neck fractures:recta-analysis of ran- domized trials[J]. Clin Orthop Relat Res ,2012,470(8) :2235-2243.
  • 7van den Bekerom MP1 ,Hilverdink EF,Sierevelt IN,et 8/. A com- parison of hemiarthroplasty with total hip replacement for displaced intracapsular fracture of the femoral neck :a randomised controlled multicentre trial in patients aged 70 years and over[J]. J Bone Joint Surg (Br),2010,92(10): 1422-1428.
  • 8Kannan A, Kancheria R, McMoahon S, et al. Arthreplasty options in femoral-neck fracture:answers from the national registries [J]. lntOrthop ,2012,36(1) : 1-8.
  • 9Avery PP,Baker RP,Wahon MJ,et al. Total hip replacement and hemiarthreplasty in mobile ,independent patients with a displaced intracapsular fracture of the femoral neck : a seven- to ten-tear fol- low-up report of a prospective randomized eontrolled trial [J]. J Bone Joint Surg (Br), 2011,93(8) : 1045-1048.
  • 10Gjertsen JE,Lie SA,Vinje T,et a/. More re-operations after unce- mented than cemented hemiarthroplasty usedin the treatment of displaced fractures of the femoral neek:an observational study of 1 l, 116 hemiarthroplasties from a national register [J]. J Bone Joint Surg(Br), 2012,94 (8) : 1113-1119.

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