人工全髋关节置换治疗股骨粗隆间骨折的临床分析.pdfVIP

岭南现代临床夕 生 旦箜 鲞箜 塑 !璺 垡!! ! ： z ： ： 57 · 论 著· 人工全髋关节置换治疗股骨粗隆间骨折的临床 分析 韩更银t 叶记超：唐 勇：黄 霖 杨 睿 尹 博 沈慧勇 1．河南省禹州市人民医院骨科(461670)；2．中山大学附属第二医院骨外科(510120) 【摘要】 目的 探讨应用人工全髋关节置换术治疗老年股骨粗隆间骨折的疗效。方法 对中山二院骨科 2000年9月一2005年9月50例老年股骨粗隆间骨折实行人工全髋关节置换术进行回顾性分析。结果 50例患 者平均手术时间1．97小时、平均术中出血量267．6 ml、术后扶双拐下床时间平均6．8 d、平均住院时间20．8 d。 术后随访 1～4年，假体松动1例，异位骨化5例，患髋Harris关节功能评分平均90．46分。结论 只要严格掌 握病例选择标准，股骨粗隆间骨折行人工全髋关节置换不失为一种良好的治疗方法。 【关键词】股骨粗隆间骨折；人工全髋关节置换；手术适应症 中图分类号：R687 文献标识码：A 文章编号：1009-976X(2008)O1-0057一o3 Treatment of femoral intertroehanterie fracture with the total hip replacement HAN Gengyin，YE~chao，TANG Yong，HUANG lin，YANG Rui，YIN Bo，SHEN Huiyong 1．Department of Orthopaedics，The Peoples Hospital of Yuzhou，Henan 461670；2_Department of Orthopaedics，The Second Affiliated Hospital ofSun Yat-sen University，Guangzhou 510120 【Abstract】 Objective To investigate the therapeutic efficacy of the total hip replacement for Datients with femoral intertrochanteric fractures． Methods Form September 2000 to Septemb er 2005． 50 elderly patients with femoral intertrochanteric fracture received total hip replacement were analyzed retrospectively． Results The average operation time was 1．97 hours， the average blood loss was 267．6 ml， and the average hospitalization was 20．8 days． At 1 to 4 years follow—up，48 patients were evaluated， there were one case of prosthetic loosening and five cases of heterotopic ossification， Harris hip score was an average of 90．46 points． Conclusion The total hip replacement is indicated for older patients with femoral intertrochanteric fracture and it has a low complication rate and good results． 【Key words】 Femoral intertrochanteric fractures