骨水泥型与生物型假体髋关节置换术治疗老年不稳定型股骨颈骨折的疗效

发布时间：2018-04-08 13:06

本文选题：股骨颈骨折　切入点：骨水泥型假体　出处：《中国老年学杂志》2017年08期

【摘要】：目的探讨骨水泥型与生物型假体髋关节置换术治疗不稳定型老年股骨颈骨折的疗效。方法假体髋关节置换术治疗的不稳定型老年股骨颈骨折患者78例,按照随机数字表法分为研究组和对照组各39例;研究组采用骨水泥型假体髋关节置换术治疗,对照组采用生物型假体髋关节置换术治疗,观察两组临床疗效,术后随访6个月患者髋关节脱位和Harris评分。结果术后1、6个月研究组优良率显著高于对照组(P0.05);研究组手术时间和术中出血量均高于对照组,但差异无统计学意义(P0.05),住院时间短于对照组(P0.05);两组术后1、6个月髋关节Harris评分均高于术前,且术后6个月高于术后1个月,研究组显著高于对照组(P0.05);两组不良事件发生率比较差异无统计学意义(P0.05)。结论骨水泥型假体髋关节置换术治疗不稳定型老年股骨颈骨折患者后早期髋关节功能恢复、近期疗效显著优于生物型假体髋关节置换术。
[Abstract]:Objective to investigate the effect of hip arthroplasty with bone cement and biological prosthesis for unstable femoral neck fracture.Methods Seventy-eight patients with unstable femoral neck fracture treated by hip prosthesis replacement were divided into study group (n = 39) and control group (n = 39).The patients in the control group were treated with bioprosthetic hip arthroplasty. The clinical efficacy of the two groups was observed. The patients were followed up for 6 months with dislocation of the hip and Harris score.Results the excellent and good rate of the study group was significantly higher than that of the control group at 1 and 6 months after operation, and the operative time and the amount of intraoperative bleeding in the study group were higher than those in the control group.However, the difference was not statistically significant (P 0.05), the hospitalization time was shorter than that in the control group (P 0.05), the Harris score of hip joint in the two groups was higher at 1 and 6 months after operation than that before operation, and at 6 months after operation was higher than that at 1 month after operation.The incidence of adverse events in the study group was significantly higher than that in the control group (P 0.05), and there was no significant difference in the incidence of adverse events between the two groups.Conclusion the early recovery of hip joint function in the elderly patients with unstable femoral neck fracture treated by bone cement prosthesis hip arthroplasty is significantly better than that of biological prosthesis hip arthroplasty.
【作者单位】：贵州医科大学附属医院创伤骨科;贵州医科大学附属医院急诊医学科;
【分类号】：R687.4

【相似文献】