全髋关节置换术和半髋关节置换术治疗老年股骨颈骨折的效果.pdfVIP

中国医药导报 2015年 1月第 12卷第3期 窑临床医学-骨科 窑 全髋关节置换术和半髋关节置换术 治疗老年股骨颈骨折的效果 鲁保华 沈阳市骨科医院骨盆髋臼科袁辽宁沈阳 110044 [摘要] 目的探讨全髋关节置换术和半髋关节置换术治疗老年股骨颈骨折的效果对比情况遥 方法 选择沈阳市 骨科医院骨外科2013年 1月耀2014年 1月收治的 120例老年股骨颈骨折患者的临床资料袁依据采取的置换术方 法不同进行分组袁半髋组60例和全髋组60例遥观察两组术后功能评分尧Barthel指数评分尧术后股骨头缺血坏死尧 股骨颈缩短尧感染情况遥 结果全髋组术后功能评分优良率渊100.0%袁60/60冤明显优于半髋组渊80.0%袁48/60冤袁差异 2 有统计学意义渊字 = 22.22袁P 0.05冤曰全髋组患者Barthel指数评分情况优良率渊100.0%袁60/60冤明显优于半髋组 2 渊73.3%袁44/60冤袁差异有统计学意义渊字=30.81袁P0.05冤曰全髋组患者术后股骨头缺血坏死尧股骨颈缩短尧感染发生 率均低于半髋组 渊0.0%比10.0%尧0.0%比6.7%尧0.0%比13.3%冤袁 差异有统计学意义 渊字 = 10.53尧6.93尧14.25袁P 2 0.05冤遥 结论全髋关节置换术治疗老年股骨颈骨折患者临床效果明显袁预后良好袁值得临床推广应用遥 [关键词] 全髋关节置换术曰半髋关节置换术曰老年曰股骨颈骨折 [中图分类号] R687.42 [文献标识码]A [文章编号] 1673-7210渊2015冤01渊c冤-0037-04 Curativeeffect of treatment agednessfemur neckfracture by total hip re鄄 placement surgeryandhalf ahipreplacementsurgery LU Baohua Department of Pelvic and Acetabular, Orthopedic Hospital of Shenyang City, Liaoning Province, Shenyang 110044, China [Abstract] Objective To approach curative effect of treatment agedness femur neck fracture by total hip replacement surgery and half ahip replacement surgery.Methods FromJanuary 2013 to January 2014, clinical data of 120patients withfemur neckfracture in Orthopedic Hospital of Shenyang City,accordingto bone surgerymethod,which were divid鄄 ed into half hipgroup (60cases) andtotal hip group (60cases).The postoperative functional score, Barthelindex score, postoperative ischemic necrosisoffemoral head,femoral neckto shorten, infection oftwo groupswere detected. Results The postoperative functional score good rate of total hip group (100.0%, 60/60) was b