摘要
目的探讨双极人工股骨头置换治疗高龄股骨转子间骨折的临床疗效。方法采用双极人工股骨头置换术治疗高龄不稳定型股骨转子间骨折患者17例。结果17例均获得随访,时间4～24个月。患者均在术后6周下地不负重行走,3～6个月恢复到伤前髋关节功能,关节屈曲80°～110°,Harris评分为82～94分。1例脱位,2例发生肺部感染,1例发生深静脉栓塞,无死亡病例。结论对于严重骨质疏松且合并多系统疾病的高龄不稳定股骨转子间骨折患者,采用双极人工股骨头置换治疗,可以尽早恢复肢体功能,早期下地负重,提高生活质量。
objective To evaluate the clinical results of the bipolar prosthetic replacement for the treatment of unstable intertrochanteric fractures in elderly patients. Methods 17 cases with unstable intertrochanteric fractures were treated with bipolar prosthetic arthroplasty. Results 17 eases were followed up for 4 - 24 months . Walking without weight-bearing was begun 6 weeks postoperatively. All were restored to preoperative activity in 3 - 6 months. The rang of flexion-extension was 80° - 110°, and Harris scores were 82 -94. 1 was complicated with dislocation. 2 cases got pneumonia and 1 got deep venous thromboembolism, no case died. Conclusions For elderly patients with unstable intertrochanteric fracture especially with extensive osteoporosis,cemented bipolar prosthetic arthroplasty may be the better choice in the advantages of cartier functional recovery and lower complications.
出处
《临床骨科杂志》
2008年第6期521-522,共2页
Journal of Clinical Orthopaedics
关键词
双动头置换
股骨粗隆间骨折
骨质疏松
老年人
bipolar arthroplasty
intertrochauteric fractures
elderly patients
osteoporosis
aged
