摘要
目的比较全髋关节置换术与半髋关节置换术治疗老年股骨颈骨折的临床疗效。方法将80例老年股骨颈骨折患者随机分为两组,分别采用全髋关节置换术(全髋组,n=40)和半髋关节置换术(半髋组,n=40)治疗。采用Harris评分标准对患者术后6~12个月的髋关节功能恢复情况进行评价。结果患者均获得随访,时间6~12个月。半髋组的术后并发症发生率(32.5%)高于全髋组(5.0%),差异有统计学意义(P<0.05)。Harris功能评分优良率全髋组(90.0%)优于半髋组(72.5%),差异有统计学意义(P<0.05)。结论全髋关节置换术治疗老龄股骨颈骨折患者较半髋关节置换术效果更好。
Objective To campare the clinical effect of total hip arthroplasty and hemiarthroplasty in the treatment of femoral neck fractures in the elderly. Methods Eighty elderly patients with femoral neck fracture were randomly divided into two groups： total hip arthroplasty group（ n = 40） and hemiarthroplasty group（ n = 40）. Harris score was used to evaluate the functional recovery of the hip joints from 6 months to 12 months after operation. Results Patients were followed up for 6 - 12 months. The incidence rate of postoperative complications was significantly higher in the hemiarthroplasty group（ 32. 5%） than that in the total hip arthroplasty group（ 5. 0%）（ P〈0.05）. The Harris functional score was significantly higher in the total hip arthroplasty group（ 90. 0%） than in the hemiarthroplasty group（ 72. 5%）. The difference was statistically significant（ P〈0.05）. Conclusions Total hip arthroplasty is more effective in the treatment of femoral neck fractures than that of hemiarthroplasty.
出处
《临床骨科杂志》
2017年第1期56-57,共2页
Journal of Clinical Orthopaedics
