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人工关节置换术治疗高龄不稳定型股骨粗隆间骨折56例 被引量:8

Arthroplasty for the Treatment of 56 Elderly Patients with Unstable Intertrochanteric Femoral Fracture
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摘要 目的:观察高龄不稳定型粗隆间骨折人工关节置换术的治疗效果。方法:2005年1月至2008年1月收治高龄不稳定型股骨粗隆间骨折患者56例,行人工关节置换术治疗,按照Harris标准评分分析效果。结果:56例患者均顺利完成手术,平均手术时间62 min,平均住院17天。随访1~3年,术后14月因突发脑出血死亡1例,其余患者功能恢复良好。按照Harris标准评分优良率为91%。结论:高龄股骨粗隆间骨折采用人工关节置换术治疗安全有效。 Objective: To evaluate the clinical effect of arthroplasty on the unstable femoral intertrochanteric fracture in the elderly patients.Methods: To analyze a total of 56 elderly patients with unstable intertrochanteric femoral fracture were treated with arthroplasty from 2005 to 2008.The clinical results were followed-up and analyzed according to Harris score system.Results: All the 56 cases were operated successfully.The average operating time was 62 minutes and average in-hospital stay was 17 days.All the elderly patients were followed up for 1 to 3 years,and achieved excellent clinical results except for 1 case died of brain hemorrhage on 14 months after the operation.The Harris average score was excellent in 91%.Conclusion: Arthroplasty is safe for the treatment of unstable intertrochanteric femoral fracture in the elderly patients,which could achieve excellent results.
机构地区 解放军第
出处 《华西医学》 CAS 2010年第1期94-95,共2页 West China Medical Journal
关键词 股骨粗隆间骨折 人工关节 intertrochanteric femoral fracture arthroplasty
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