摘要
目的分析比较骨水泥与非骨水泥固定的半髋关节置换术治疗老年股骨颈骨折的早中期疗效。方法回顾2011年67例老年(>60岁)股骨颈骨折并行半髋关节置换术患者,其中采用骨水泥固定34例,非骨水泥固定33例;随访指标包括术后3年大腿疼痛发生率、假体周围骨折发生率和病死率,术后半年和术后3年OHS评分及假体松动情况。结果随访结束共获得完整资料65例,其中骨水泥组33例,非骨水泥组32例。骨水泥组大腿疼痛发生率(9.1%)明显低于非骨水泥组(18.6%)(P<0.05);假体周围骨折发生率(3.03%)明显低于非骨水泥组(9.38%)(P<0.05);两组病死率(2.94%,3.03%)无显著差异(P>0.05)。术后半年和术后3年OHS评分骨水泥组(35.6±1.3,35.7±2.1)与非骨水泥组(39.8±1.5,39.2±1.4)均无显著差异(P>0.05)。骨水泥组术后3年假体松动率(6.06%)明显低于非骨水泥组(18.8%)(P<0.05)。结论骨水泥固定的半髋关节置换术较非骨水泥固定的半髋关节置换术在治疗老年股骨颈骨折患者更具优势。
Objective To evaluate the therapeutic effects of cemented and uncemented hemiarthroplasty in treatment of elderly patients with femoral neck fractures. Methods A total of 67 patients（ 〉 60 years）with femoral neck fractures received hemiarthroplasty in 2011,34 of them were allocated in cemented - group and remaining 33 patients were listed in uncemented - group. The incidence rates of thigh pain and periprosthetic fracture,mortality and OHS scores（Oxford Hip Scores）in postoperative follow - up period for half a year and 3 years and incidence of loosening were observed and compared. Results Among them,65 cases received complete data at the end of follow - up period,33 patients were assigned to cemented - group,and 32 of them were allocated in uncemented - group,the incidence of thigh pain in 3 years after operation was 9. 1% in patients of cemented - group which was significantly lower than that（18. 6% ）of patients in uncemented - group（ P 〈 0. 05）. The in-cidence of periprosthetic fracture was 3. 03% in patients of cemented - group and 9. 38% in patients of uncemented - group,and their difference was statistically significant（ P 〈 0. 05）. The mortality rates of these 2 groups were 2. 94% and 3. 03% respectively,and their difference was not statistically significant（ P 〉 0. 05）. During the postoperative follow - up periods of half a year and 3 - years,the mean OHS scores（ ± SD）were 35. 6 ± 1. 3 and 35. 7 ± 2. 1 in cemented - group and 39. 8 ± 1. 5 and 39. 2 ± 1. 4 in uncemented - group respectively,and the difference was not significant（ P 〉 0. 05）. The rates of periprosthetic fracture in patients of these 2 groups were 6. 06% and 18. 8% respectively,and the difference was significant（ P 〈 0. 05）. Conclusion This study shows that cemented hemiarthroplasty is a better choice for elderly patients（ 〉 60 years） with femoral neck fracture.
出处
《临床和实验医学杂志》
2016年第11期1098-1101,共4页
Journal of Clinical and Experimental Medicine
