CAJ | 학술논문

目的观察人工股骨头置换治疗骨质疏松性股骨粗隆间骨折的临床效果。方法对2008年1月-2013年6月收治的36例骨质疏松性股骨粗隆间骨折行加长柄双极骨水泥人工股骨头置换术,术后常规予鲑鱼降钙素联合钙剂抗骨质疏松治疗。结果术后Harris关节功能评分平均88分(68~94分),其中优18例,良13例,可4例,差1例,优良率为86.1%。2例术后活动后出现髋部轻度疼痛,1例下肢深静脉栓塞；本组均无髋关节脱位、假体周围再骨折、假体松动及下陷、大小粗隆骨折不愈合等并发症发生。结论人工股骨头置换术治疗骨质疏松性股骨粗隆间骨折可减少力学及内固定相关风险,且并发症少,效果良好。
목적관찰인공고골두치환치료골질소송성고골조륭간골절적림상효과。방법대2008년1월-2013년6월수치적36례골질소송성고골조륭간골절행가장병쌍겁골수니인공고골두치환술,술후상규여해어강개소연합개제항골질소송치료。결과술후Harris관절공능평분평균88분(68~94분),기중우18례,량13례,가4례,차1례,우량솔위86.1%。2례술후활동후출현관부경도동통,1례하지심정맥전새；본조균무관관절탈위、가체주위재골절、가체송동급하함、대소조륭골절불유합등병발증발생。결론인공고골두치환술치료골질소송성고골조륭간골절가감소역학급내고정상관풍험,차병발증소,효과량호。
Objective To observe the effect of artificial femoral head replacement in treatment of osteoporotic femoral inter-trochanteric fracture. Methods A total of 36 inpatients with osteoporotic femoral intertrochanteric fracture underwent long-stem ce-mented artificial femoral head replacement during January 2008 and June 2013, and routine salmon calcitonin combined with calcium of anti osteoporosis treatment was performed after operations. Results The postoperative Harris hip score was 88 (68-94), which included excellent in 18 cases, good in 13 cases, common in 4 cases and poor in 1 case, and the excellent and good rate was 86.1%. Two patients had postoperative hip mild pain after activity, and one patient had deep vein thrombosis of lower extremity, but there were no complications such as dislocation of hip joint, periprosthetic fracture, prosthesis loosening, subsidence and greater trochanteric fracture nonunion. Conclusion Artificial femoral head replacement in treatment of osteoporotic femoral intertrochanter-ic fracture can reduce the risks of mechanics and internal fixation with fewer complications and better effect.