双动半髋关节置换及全髋关节置换修复高龄转子间骨折的对比

发布时间：2018-01-22 22:26

本文关键词： 关节成形术置换髋髋骨折髋假体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　出处：《中国组织工程研究》2015年22期 　论文类型：期刊论文

【摘要】：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%,P0.05),但2年随访复发率明显低于对照组(4%,30%,P0.05),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。
[Abstract]:Background: both hemiarthroplasty and total hip replacement are reliable methods for the treatment of intertrochanteric fractures in the elderly. But there is still controversy about which method is more effective in clinic. Objective: to observe the actual effect of different methods of artificial joint replacement in elderly patients with intertrochanteric fracture. Methods: 54 patients over 65 years old with intertrochanteric fracture were randomly divided into observation group (n = 27) and treatment group (n = 27). Twenty-seven patients in the control group were treated with bone cement total hip replacement. The Harris scores of the two groups were recorded to evaluate the curative effect and the recurrence rate was recorded after 2 years follow-up. Adverse events and host reaction of materials. Results and conclusion: the curative effect of the observation group was similar to that of the control group, and the curative effect of the observation group was similar to that of the control group (P 0.05). However, the recurrence rate of 2-year follow-up was significantly lower than that of the control group (P 0.05), and there were no serious complications such as dislocation, acetabular wear and loosening of the prosthesis. The intermediate effect of graded cement double action artificial joint replacement for intertrochanteric fracture in elderly patients was similar to that of total hip replacement, but the recurrence rate was significantly reduced.
【作者单位】：甘肃省武威市人民医院骨二科;
【分类号】：R687.4
【正文快照】： 0引言Introduction1对象和方法Subjects and methods股骨转子间骨折高龄患者,特别是不稳定性骨折高龄设计:回顾性病例分析。患者,多合并严重的骨质疏松症,临床上主要选择切开复时间及地点:2011年7月至2012年6月在武威市人民医位滑动加压钉板内固定。然而,高龄患者由于受到骨质

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