摘要
目的探讨双极股骨头置换术与解剖钢板内固定术治疗老年不稳定型股骨转子间骨折的疗效。方法选择老年不稳定型股骨转子间骨折96例,采用完全随机分组的方法将患者分为观察组44例和对照组52例,观察组采用双极股骨头置换术,对照组采用解剖钢板内固定术。比较两组手术时间、出血量、输血量,术后并发症发生率,术后1年评估髋关节Harris评分及Barthel生活指数。结果观察组手术时间较对照组延长,术中出血量和输血量均较对照组多,差异均有统计学意义(P<0.01)。两组术后并发症发生率及术后1年Harris关节功能评分及Barthel生活指数比较差异无统计学意义(P>0.05)。结论双极股骨头置换术与解剖钢板内固定术均是治疗高龄不稳定型股骨转子间骨折的有效方法。解剖钢板内固定可作为首选,双极关节置换术需严格掌握适应证。
Objective To explore the clinical efficacy of bipolar femoral head replacement and anatomical plate fixation in treatment of elderly patients with unstable intertrochanteric fracture. Methods A total of 96 elderly patients with unstable intertrochanteric fracture were divided into observation group （n = 44） and control group （n = 52） by completely randomized method. Patients in observation group were treated with bipolar femoral head replacement, while pa- tients in control group were given anatomical plate internal fixation. The operative time, bleeding volum, blood transfusion volum and the rate of postoperative complications of the two groups were compared, and the thurl Harris scores and Barthel living indexes 1 year after surgery were evaluated. Results The operative time in observation group was longer than that in control group, intraoperative bleeding volum and blood transfusion volum in observation group were also larger than those in control group （P 〈 0.01 ） ; the differences in rate of postoperative complications, Harris score of joint functions and Barthel living indexes were not statistically significant between the two groups （P 〉 0.05）. Conclusion The bipolar femoral head replacement and anatomical plate fixation are effective in treatment of elderly patients with unstable intertrochanteric fracture. Anatomical plate fixation is the first choice, and bipolar femoral head replacement should be pay attention to its indications.
出处
《解放军医药杂志》
CAS
2013年第4期49-51,共3页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
关键词
双极股骨头置换
解剖钢板内固定
老年
股骨
骨折
Bipolar femoral head replacement
Anatomical plate internal fixation
Elderly
Femur
Fracture
