文章摘要
王帅,郭洪敏,聂志奎,李林,刘庆胜.人工股骨头置换术治疗高龄不稳定型股骨转子间骨折[J].济宁医学院学报,2011,(6):416-418
人工股骨头置换术治疗高龄不稳定型股骨转子间骨折
Treatment of unstable intertrochanteric fractures in elderly patients with hemiprosthesis arthoplasty
投稿时间:2011-10-25  
DOI:10.3969/j.issn.1000-9760.2011.06.011
中文关键词: 股骨转子间骨折|人工股骨头置换术|高龄|不稳定骨折
英文关键词: Intertrochanteric fractures|Hemiprosthesis arthoplasty|Elderly|Unstable fracture
基金项目:
作者单位
王帅 山东省医学科学院, 山东济南 250062 
郭洪敏 济宁医学院附属济宁市第一人民医院, 山东济宁 272011 
聂志奎 济宁医学院附属济宁市第一人民医院, 山东济宁 272011 
李林 济宁医学院附属济宁市第一人民医院, 山东济宁 272011 
刘庆胜 济宁医学院附属济宁市第一人民医院, 山东济宁 272011 
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中文摘要:
      目的 对高龄不稳定型股骨转子间骨折病人进行回顾性分析,探讨人工股骨头置换治疗高龄不稳定型股骨转子间骨折的临床疗效。方法 符合标准的42例>75岁的不稳定型转子间骨折患者,男性18例,女性24例,年龄75~98岁,平均81.5岁,Evans分型ⅢA型15例,ⅢB型18例,Ⅳ型9例,均采用人工股骨头置换术。结果 平均手术时间(55±15)min,平均出血量(300±55)ml,平均住院时间(16.3±2.5)d,平均卧床时间(4.0±2.3)d,术后随访8~32个月,平均24个月。术后6个月时Harris评分为:优26例,良11例,可2例,差3例,优良率88.1%,未发现关节松动和下沉。结论 人工股骨头置换术具有术后优良率高、卧床时间短、术中出血少等优点,是治疗高龄不稳定型转子间骨折合理的手术方法。
英文摘要:
      Objective To observe the clinical efficacy for the Treatment of Unstable Intertrochanteric Fractures in elderly patients with hemiprosthesis arthoplasty. Methods 42 cases over 75 years old met the inclusion criteria of unstable intertrochanteric fractures included 18 males and 24 females, and the average age was 81.5 years old(range from 75 to 98 years old).According to Evans type 15 cases were Ⅲ A type, 18 cases were Ⅲ B type, and 9 cases were Ⅳ type.All the cases were treated by hemiprosthesis arthoplasty. Results The mean operative time was 55±15 minutes, intraopertive blood loss was 300±55ml, average length of stay was 16.3±2.5 days, and the average bed time were 4.0±2.3 days.The followed-up period ranged 8 to 32 months and the average was 24 months.According to Harris evaluation standard the results were excellent in 26 cases, good in 11 cases, fair in 2 cases and bad in 3 cases after 6 months.And the excellent and good rate was 88.1%.Joint loosening and subsidence were not found. Conclusion The effect of hemiprosthesis arthoplasty has the advantages of high quality, less blood loss and bed time in short, and so on.It is a proper treatment for unstable intertrochanteric fractures in elderly patients.
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