新型交叉双环钢丝捆扎技术联合关节置换治疗高龄股骨转子间骨折的临床疗效观察

发布时间：2018-06-30 04:37

本文选题：老年患者 + 股骨转子间骨折　；参考：《重庆医科大学》2015年硕士论文

【摘要】：目的：探讨新型交叉双环钢丝捆扎技术联合关节置换术治疗高龄股骨转子间粉碎骨折的临床疗效。方法：将2012年12月至2014年2月我院收治的44例粉碎性转子间骨折病人随机分为2组,其中22例采用交叉双环钢丝捆扎加人工关节置换术,22例采用普通环形钢丝捆扎加人工关节置换术。两组分别从术后首次下床行走时间、术后住院时间、术后并发症发生率、术后1月、6月及12个月髋关节功能评分等方面进行对比分析。结果：采用新型交叉双环钢丝捆扎组与采用普通钢丝捆扎组相比,前者的术后首次下床行走时间更早、术后住院时间更短,术后1月、6月、12月髋关节Harris功能评分方面明显优于后者(P0.05)。结论：新型交叉双环钢丝捆扎加人工关节置换术可减少患者卧床时间,减少住院时间,提高关节置换术后人工关节功能。
[Abstract]:Objective: to investigate the clinical effect of new cross double-ring wire binding technique combined with arthroplasty in the treatment of senile intertrochanteric comminuted fracture. Methods: from December 2012 to February 2014, 44 patients with comminuted intertrochanteric fracture were randomly divided into two groups. 22 cases were treated with cross double ring steel wire binding and artificial joint replacement. 22 cases were treated with common ring steel wire binding and artificial joint replacement. The time of walking out of bed after operation, the time of hospitalization, the incidence of postoperative complications and the score of hip joint function at 1 month, 6 months and 12 months after operation were compared between the two groups. Results: the first time of walking out of bed was earlier and the hospitalization time was shorter in the new type cross double ring steel wire binding group than that in the common steel wire binding group. The Harris score of hip joint in 1 month, 6 months and 12 months after operation was significantly better than that of the latter (P 0.05). Conclusion: the new cross double ring wire binding and artificial joint replacement can reduce the time of bed rest and hospital stay and improve the function of artificial joint after joint replacement.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

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