中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2013年
2期
127-131
,共5页
王少林%谭祖键%周明全%吴钢%张胜利%龙祥明
王少林%譚祖鍵%週明全%吳鋼%張勝利%龍祥明
왕소림%담조건%주명전%오강%장성리%룡상명
股骨骨折%股骨头%关节成形术,置换,髋
股骨骨摺%股骨頭%關節成形術,置換,髖
고골골절%고골두%관절성형술,치환,관
Femoral fractures%Femoral head%Arthroplasty,replacement,hip
目的 探讨和分析应用生物型普通柄(短柄)假体治疗高龄股骨转子间骨折的疗效.方法 回顾性分析321例中获得随访280例患者,其中男102例,女178例;年龄72 ～ 98岁,平均82.5岁.骨折类型按偏髓分型:Ⅰa型65例,Ⅰb型215例.患者多合并内科疾病,相关内科协同治疗后,对所有患者采用标准生物型普通柄假体(人工双极股骨头)置换术,术后早期进行康复锻练.结果 321例患者都顺利度过围术期,住院期间无死亡患者,术后并发症均在住院期间治愈.术后1～3周下床活动.280例获得随访,随访时间12～46个月,平均28个月,患者均能生活自理.按Harris评分标准:优129例,良121例,可22例,差8例,优良率达89.3％.结论 施行生物型普通柄人工股骨头置换治疗高龄转子间骨折,是一种有效的治疗方法,可使患者早期下床活动,减少并发症,提高患者生活质量.
目的 探討和分析應用生物型普通柄(短柄)假體治療高齡股骨轉子間骨摺的療效.方法 迴顧性分析321例中穫得隨訪280例患者,其中男102例,女178例;年齡72 ～ 98歲,平均82.5歲.骨摺類型按偏髓分型:Ⅰa型65例,Ⅰb型215例.患者多閤併內科疾病,相關內科協同治療後,對所有患者採用標準生物型普通柄假體(人工雙極股骨頭)置換術,術後早期進行康複鍛練.結果 321例患者都順利度過圍術期,住院期間無死亡患者,術後併髮癥均在住院期間治愈.術後1～3週下床活動.280例穫得隨訪,隨訪時間12～46箇月,平均28箇月,患者均能生活自理.按Harris評分標準:優129例,良121例,可22例,差8例,優良率達89.3％.結論 施行生物型普通柄人工股骨頭置換治療高齡轉子間骨摺,是一種有效的治療方法,可使患者早期下床活動,減少併髮癥,提高患者生活質量.
목적 탐토화분석응용생물형보통병(단병)가체치료고령고골전자간골절적료효.방법 회고성분석321례중획득수방280례환자,기중남102례,녀178례;년령72 ～ 98세,평균82.5세.골절류형안편수분형:Ⅰa형65례,Ⅰb형215례.환자다합병내과질병,상관내과협동치료후,대소유환자채용표준생물형보통병가체(인공쌍겁고골두)치환술,술후조기진행강복단련.결과 321례환자도순리도과위술기,주원기간무사망환자,술후병발증균재주원기간치유.술후1～3주하상활동.280례획득수방,수방시간12～46개월,평균28개월,환자균능생활자리.안Harris평분표준:우129례,량121례,가22례,차8례,우량솔체89.3％.결론 시행생물형보통병인공고골두치환치료고령전자간골절,시일충유효적치료방법,가사환자조기하상활동,감소병발증,제고환자생활질량.
Objective To discuss and analyze effect of biotype common handle (short handle) prosthesis in treating aged patients with femoral intertrochanteric fracture.Methods A retrospective analysis was carried out on 321 patients,among which 280 (102 males and 178 females,at age of 72-98years,average 82.5 years) obtained follow-up.According to a new fracture classification method (Piansui Classification),the typeⅠ a fracture was found in 65 cases and type Ⅰ b in 215.Most patients were combined with medical diseases,and after related medical collaborative treatment,standard biotype common handle prosthesis (artificial bipolar femoral head) replacement was applied to all patients.Early rehabilitation exercise was performed postoperatively.Results All the 321 patients lived through perioperative period successively,with no death in hospitalization.Meanwhile,postoperative complications were all cured in hospitalization.The patients could take out-of-bed activity at 1-3 weeks after operation.All 280 patients could take care of themselves at 12-46 months (average 28 months) of follow-up.According to Harris score,the results were excellent in 129 cases,good in 121,fair in 22 and poor in eight,with excellence rate of 89.3％.Conclusion Biotype common handle artificial femoral head replacement is an effective method to allow early ambulation,reduce complications and improve quality of life in treatment of intertrochanteric fractures in the elderly.
