摘要
目的：比较骨质疏松性不稳定股骨粗隆间骨折运用人工关节置换和内固定治疗的疗效.方法：选出本院骨科2017年1～12月期间收治的84例骨质疏松性不稳定股骨粗隆间骨折患者,按照不同手术治疗方式将其分成对照组与观察组,每组均为42例,对照组运用内固定术治疗,观察组运用人工关节置换术治疗,对比2组患者的骨折愈合情况、临床相关指标以及并发症发生情况.结果：对照组患者骨折愈合的优良率为69.0％,观察组为90.5％,观察组高于对照组,对比差异显著（P〈0.05）.对比2组患者的临床相关指标,观察组的术后卧床时间短于对照组,差异显著（P〈0.05）.对照组的并发症发生率是11.9％,观察组是4.8％,观察组低于对照组,对比差异显著（P〈0.05）.结论：骨质疏松性不稳定股骨粗隆间骨折运用人工关节置换术治疗的疗效优于运用内固定术治疗,可明显提升骨折愈合率,缩短术后卧床时间,且可降低并发症发生率,值得推广.
Objective： ： To compare the effect of artificial joint replacement and internal fixation for osteoporotic unstable intertrochan- teric fractures. Methods： Select the hospital department of orthopedics during the month of 2017 1 ~ 12 treated 84 eases of osteoporotic unstable intertrochanteric fracture patients, according to the different surgical treatment will be divided into control group and observation group, each group had 42 cases, the control group using internal fixation, the observation group using the artificial hip replacement treat- ment. Comparison of two groups of patients with fracture healing, clinical indicators and complications. Results： The good rate of fracture healing in the control group was 69%, the observation group was 90.5%, the observation group was higher than the control group, and the difference was significant （ P 〈 0. 05 ）. The clinical related indexes of the two groups were compared, and the time of bed rest in the observation group was shorter than that of the control group, the difference was significant （ P 〈 0. 05 ）. The incidence of complications in the control group was 11.9%, the observation group was 4.8%, the observation group was lower than the control group, the difference was significant （ P 〈 0.05 ）. Conclusion： The treatment of unstable intertrochanteric fracture of the femur with artificial joint replacement is better than internal fixation. It can significantly improve the fracture healing rate, shorten postoperative bed time, and reduce the inci- dence of complications, which is worthy of promotion.
作者
王自刚
盛文辉
WANGZi-Gang;SHENG Wen-hui(Department of orthopaedies,the people’s hospital of Shihezi,Shihez,Xinjiang 83200)
出处
《中国伤残医学》
2018年第15期2-4,共3页
Chinese Journal of Trauma and Disability Medicine
关键词
骨质疏松性不稳定股骨粗隆间骨折
人工关节置换
内固定
治疗
Osteoporotic unstable intertrochantedc fracture of femur
Artificial joint replacement
Internal fixation
Treatment
