中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2015年
22期
3482-3486
,共5页
植入物%人工假体%股骨转子间骨折%高龄%双动半髋关节置换%全髋关节置换%骨水泥%并发症
植入物%人工假體%股骨轉子間骨摺%高齡%雙動半髖關節置換%全髖關節置換%骨水泥%併髮癥
식입물%인공가체%고골전자간골절%고령%쌍동반관관절치환%전관관절치환%골수니%병발증
背景：双动半髋关节置换及全髋关节置换均是治疗老年股骨转子间骨折的可靠方法，但具体哪种方式疗效更好临床上仍有争议。目的：观察人工关节置换的不同方案用于高龄转子间骨折患者的实际疗效，评价其临床应用价值。方法：选择54例65岁以上的高龄转子间骨折患者，随机分为观察组27例，采用分次骨水泥双动人工关节置换进行治疗；对照组27例，采用骨水泥人工全髋关节置换进行治疗，随访2年，记录两组患者Harris得分以评估疗效，随访复发率、不良事件及材料宿主反应。结果与结论：应用分次骨水泥双动人工关节置换的观察组疗效与对照组相似(89%，81%，P >0.05)，但2年随访复发率明显低于对照组(4%，30%，P <0.05)，且均未发生脱位、髋臼磨损、假体松动等严重并发症。结果提示，分次骨水泥双动人工关节置换用于高龄转子间骨折的中期效果与全髋关节置换相似，但显著降低了复发率。
揹景：雙動半髖關節置換及全髖關節置換均是治療老年股骨轉子間骨摺的可靠方法，但具體哪種方式療效更好臨床上仍有爭議。目的：觀察人工關節置換的不同方案用于高齡轉子間骨摺患者的實際療效，評價其臨床應用價值。方法：選擇54例65歲以上的高齡轉子間骨摺患者，隨機分為觀察組27例，採用分次骨水泥雙動人工關節置換進行治療；對照組27例，採用骨水泥人工全髖關節置換進行治療，隨訪2年，記錄兩組患者Harris得分以評估療效，隨訪複髮率、不良事件及材料宿主反應。結果與結論：應用分次骨水泥雙動人工關節置換的觀察組療效與對照組相似(89%，81%，P >0.05)，但2年隨訪複髮率明顯低于對照組(4%，30%，P <0.05)，且均未髮生脫位、髖臼磨損、假體鬆動等嚴重併髮癥。結果提示，分次骨水泥雙動人工關節置換用于高齡轉子間骨摺的中期效果與全髖關節置換相似，但顯著降低瞭複髮率。
배경：쌍동반관관절치환급전관관절치환균시치료노년고골전자간골절적가고방법，단구체나충방식료효경호림상상잉유쟁의。목적：관찰인공관절치환적불동방안용우고령전자간골절환자적실제료효，평개기림상응용개치。방법：선택54례65세이상적고령전자간골절환자，수궤분위관찰조27례，채용분차골수니쌍동인공관절치환진행치료；대조조27례，채용골수니인공전관관절치환진행치료，수방2년，기록량조환자Harris득분이평고료효，수방복발솔、불량사건급재료숙주반응。결과여결론：응용분차골수니쌍동인공관절치환적관찰조료효여대조조상사(89%，81%，P >0.05)，단2년수방복발솔명현저우대조조(4%，30%，P <0.05)，차균미발생탈위、관구마손、가체송동등엄중병발증。결과제시，분차골수니쌍동인공관절치환용우고령전자간골절적중기효과여전관관절치환상사，단현저강저료복발솔。
BACKGROUND:Doubld-action hemiarthroplasty and total hip arthroplasty are reliable methods to treat intertrochanteric fracture of femur in the elderly, but which is better remains controversial in the clinic. OBJECTIVE:To observe the practical effect of prosthetic replacement with different methods in treatment of intertrochanteric fracture of femur in the elderly, and to assess the clinical value. METHODS:A total of 54 elderly patients with intertrochanteric fracture of femur at the age of over 65 years old were randomly assigned to two groups. In the observation group (n=27), patients underwent graded cement double-action arthroplasty. In the control group (n=27), patients received cementless total hip arthroplasty. They were folowed up for 2 years. Harris scores were recorded in the two groups so as to assess the therapeutic effects. Folow-up recurrence rate, adverse events and host response to materials were analyzed. RESULTS AND CONCLUSION: The therapeutic effects were similar between the observation and control groups (89%, 81%;P > 0.05), but recurrence rate of 2-year folow-up was significantly lower in the observation group than in the control group (4%, 30%;P < 0.05). Moreover, dislocation, acetabular wear and loosening were not found. Results indicate that the midterm effects were similar between graded cement double-action arthroplasty and total hip arthroplasty in treatment of intertrochanteric fracture in the elderly, but graded cement double-action arthroplasty significantly decreases the recurrence rate.
