摘要
目的比较人工股骨头置换术与人工全髋置换术治疗股骨颈骨折的疗效。方法回顾2000年2月～2006年2月该院所收治的136例55岁以上股骨颈头下型或经颈型骨折病例,56例采用人工股骨头置换术,80例采用全髋关节置换术,比较两种方法治疗老年人股骨颈骨折的疗效。结果2组病人经过1～6年,平均3年的随访,人工股骨头置换的中远期的并发症和再手术率高,而全髋关节置换术,髋关节功能优良率高。结论人工股骨头置换术适于高龄身体情况差的患者,而人工全髋置换术适于体质较好的高龄股骨颈骨折患者。
[Objective] To study curative effect on femoral neck fracture in elderly patients thighbone head and entire hip replacement operation. [Method] Curative effect were compared for 136 patients over 55 years old with neck bottom below type or neck bottom type fracture in which 56 cases for manural thighbone replacement and 80 cases for entire hip replacement from February 2000 to 2006. [Results] Two groups of patients are interviewed for to 3 years averagely. The artificial thighbone replacement is higher for medium and long term of the complication and reoperation rate, the entire hip jiont replacement rate operation and its joint function excellent rate higher. [Conclusion] The manural thighbone head replacement is suitable for elderly patients with worse health, but the manural entire hip jiont replacement is suitable for better health and elderly patients suffered thighbone head and bottom fracture.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2009年第2期300-301,304,共3页
China Journal of Modern Medicine
关键词
股骨颈骨折
髋假体
femoral neck fracture
hip prosthesis
