摘要
目的：探讨人工关节置换术在治疗高龄患者不稳定型股骨转子间骨折的疗效。方法：对16例高龄（平均79．4岁）股骨转子部不稳定型骨折患者，采用人工股骨头置换治疗。结果：围手术期死亡1例，余15例随访4～32个月（平均为18个月），Harris功能评分平均达86．3分，73．3％的患者患髋关节功能接近伤前水平，生活能自理，未发现假体松动、下沉及脱位。结论：人工关节置换术治疗高龄转子部骨折的患者，是有效的治疗方案。
Objective： To analyze and evaluate the effects of prosthetic replacement in the treatment of unstable intertrochanteric fractures in the senile. Methods： The clinical data of 16 old patients （average 79.4 years old） with unstable intertrochanteric fractures treated by hip replacement was reviewed . Results： Follow - up study was performed in all cases for 4 to 32 months. The mean Harris scores was 86. 3 after operation. The joint function returned to normal or near normal was found in 73.3% of the cases. There was no any prosthetic loosening, sinking and dislocation. Conclusion： It＇ s an effective method to treat the unstable femoral intertrochanteric fracture in the senile with hip replacement.
出处
《解剖与临床》
2008年第5期330-331,334,共3页
Anatomy and Clinics
关键词
置换
人工关节
股骨转子间骨折
Replacement
Artificial joints
Intertrochanteric fractures
