生物型双极人工股骨头置换术治疗高龄移位型股骨颈骨折

Biotype bipolar hemiarthoplasty for the displaced femoral neck fractures in elderly patients

目的分析生物型双极人工股骨头置换术治疗高龄移位型股骨颈骨折的疗效。方法对2001年6月~2012年6月行生物型双极人工股骨头置换术的高龄股骨颈骨折患者进行随访研究。其中GardenⅢ型38例,GardenⅣ型57例,平均年龄(79±5.8)岁。从手术时间,术中失血量,术后髋关节功能等方面进行分析。结果所有患者均无休克、心跳呼吸停止、误伤神经血管等的发生。手术时间平均(62.5±15.1)分钟,失血量平均(360±45.3)ml。1年后按照Harris髋关节评分(86.3±8.7)分。其中优71例,良18例,可6例,优良率为93.7%。结论生物型双极人工股骨头置换术能明显提高患肢功能及生活质量,具有手术安全,固定牢固,关节功能恢复快,并发症少等优点,是治疗高龄股骨颈骨折的有效方法。

Objective To analysis of the outcoms of the biotype bipolar hemiarthroplasty for the displaced femoral neck fractures in elderly patients. Methods Between June 2001 and June 2012, 95 elderly patients with femoral neck fractures were performed the biotype bipolar hemiarthroplasty. There were 38 hips with type GardenⅢ and 57 with type Ⅳ, average(79±5.8) years old. Datum were collected and assessed, including surgical time, intraoperative blood loss, average,as well as Harris Hip Scores. Results No complications occured, such as shock, cardiopulmonary arrest and neurovascular injury. aslo no infection and pulmonary embolism. The mean of the surgical time was(62.5±15.1) min, the mean of the total blood loss was(360±45.3) ml. The average Harris hip scores in the group was(86.3±8.7) points at the time of one year after operation.there were excellent in 71, good in 18, fair in 6, the excellent and good rate being 93.7%.Conclusions The biotype bipolar hemiarthroplasty for the displaced femoral neck fracture can significantly improve the function and the heath-related quality of the life. It has fewer complications and better funcation, It is the effective way for the treatment of the femoral neck fractures in elderly patients.