中国医药
中國醫藥
중국의약
CHINA MEDICINE
2010年
11期
1034-1036
,共3页
股骨骨折%关节成形术,置换,膝%老年人
股骨骨摺%關節成形術,置換,膝%老年人
고골골절%관절성형술,치환,슬%노년인
Femoral fracture%Arthroplasty,replacement,knee%Elderly
目的 探讨大粗隆下移重建并带围领人工股骨头置换治疗老年股骨粗隆间粉碎性骨折的手术方法及疗效. 方法 回顾分析2004年5月至2009年5月收治的98例老年股骨粗隆间粉碎骨折患者,采用大机隆下移重建及带围领骨水泥型人工股骨头置换术治疗46例(试验组);采用大粗隆复位植骨固定治疗52例(对照组),对2组临床资料进行比较分析. 结果 2组患者在手术时间及术中出血量均无明显统计学意义(P＞0.05).术后2组患者均获随访,随访时间12～36个月.试验组肢体缩短长度[(0.5±0.2)cm]比对照组[(1.7±0.2)cm]短,差异有统计学意义(P＜0.05).按照Harris标准评定髋关节功能,试验组优良率95.6%(44/46),对照组80.7%(42/52),差异有统计学意义(P＜0.05). 结论 人工股骨头置换治疗高龄股骨粗隆间骨折的临床效果良好,大粗隆下移可早期重建外展肌力臂,提供假体的早期稳定,缩短康复时间.
目的 探討大粗隆下移重建併帶圍領人工股骨頭置換治療老年股骨粗隆間粉碎性骨摺的手術方法及療效. 方法 迴顧分析2004年5月至2009年5月收治的98例老年股骨粗隆間粉碎骨摺患者,採用大機隆下移重建及帶圍領骨水泥型人工股骨頭置換術治療46例(試驗組);採用大粗隆複位植骨固定治療52例(對照組),對2組臨床資料進行比較分析. 結果 2組患者在手術時間及術中齣血量均無明顯統計學意義(P＞0.05).術後2組患者均穫隨訪,隨訪時間12～36箇月.試驗組肢體縮短長度[(0.5±0.2)cm]比對照組[(1.7±0.2)cm]短,差異有統計學意義(P＜0.05).按照Harris標準評定髖關節功能,試驗組優良率95.6%(44/46),對照組80.7%(42/52),差異有統計學意義(P＜0.05). 結論 人工股骨頭置換治療高齡股骨粗隆間骨摺的臨床效果良好,大粗隆下移可早期重建外展肌力臂,提供假體的早期穩定,縮短康複時間.
목적 탐토대조륭하이중건병대위령인공고골두치환치료노년고골조륭간분쇄성골절적수술방법급료효. 방법 회고분석2004년5월지2009년5월수치적98례노년고골조륭간분쇄골절환자,채용대궤륭하이중건급대위령골수니형인공고골두치환술치료46례(시험조);채용대조륭복위식골고정치료52례(대조조),대2조림상자료진행비교분석. 결과 2조환자재수술시간급술중출혈량균무명현통계학의의(P＞0.05).술후2조환자균획수방,수방시간12～36개월.시험조지체축단장도[(0.5±0.2)cm]비대조조[(1.7±0.2)cm]단,차이유통계학의의(P＜0.05).안조Harris표준평정관관절공능,시험조우량솔95.6%(44/46),대조조80.7%(42/52),차이유통계학의의(P＜0.05). 결론 인공고골두치환치료고령고골조륭간골절적림상효과량호,대조륭하이가조기중건외전기역비,제공가체적조기은정,축단강복시간.
Objective To investigate the operative procedure and the therapeutic effects of unstable femoral intertrochanteric fracture in elderly patients with distal transfer of the greater trochanter in artificial femoral head replacement. Methods From May 2005 to December 2008,98 elderly patients with unstable femoral intertrochanteric fracture were treated with artificial femoral head replacement.and 46 cases with distal transfer of the greater trochanter(test group)and 52 cases with fixation of femoral greater trochanter and smaller trochanter(control group). Results The operations were successful.The incision healed by first intention.There were no significant differences in operation time,operative blood loss(P ＞0.05).The two groups were followed 12 ～36 months.The test group load times are noticeably shorter than the control group,the difference was statistically significant(P ＜ 0.01).The length of the test group limb was shorter than the control group.The difference was statistically significant(P＜0.05).There were significant differences(P ＜ 0.05)in the excellent and good rate of hip function(by Harris standard)between the test group 12 months after operation. Conclusions Tne aged patients with intertrochanteric fracture can get good results through artificial femoral head replacement,and the distal transfer of the greater trochanter can reconstruct the outreach arm of the hip and provide the early stability of the prosthesis and shorten the recovery time.
