人工双极股骨头置换治疗老年股骨粗隆间骨折
发布时间：2018-10-14 15:59
【摘要】：背景:老年股骨粗隆间骨折的发生率正呈上升趋势,对其行内固定术治疗的术后愈合效果不佳,值得临床医师探索一种新的治疗方式。方法:自2004年3月到2014年11月,苏州大学附属第一医院骨关节科为20例老年股骨粗隆间骨折患者施行了人工双极股骨头置换术。假体材料为德国LINK公司设计,生物相容性较佳。结果与讨论:随访时间6个月—10年2个月,术后疗效均较满意,假体置换术后早期便可离床活动,髋关节活动度良好,患者能尽快恢复到骨折前的生活状态,生活质量得以保证。对术后随访6个月以上的20例患者行HARRIS评分显示,好、优18例,良2例,可0例,差0例。结果显示:人工双极股骨头置换在应用于老年股骨粗隆间骨折的治疗时可明显缩短患者的术后卧床时间,有利于早期离床进行功能锻炼,恢复效果佳,是一种相对安全且有效的可选治疗方法。结论:人工双极股骨头置换术在应用于老年股骨粗隆间骨折的治疗时疗效明确,可有效地避免内固定术带来的内固定失效及复位失败等并发症,且固定稳定性较高。同时,假体置换明显地提前了患者的离床活动时间,缩短了患者的康复周期,可使骨折患者尽早恢复正常的生活状态,患者术后满意度较高。
[Abstract]:Background: the incidence of intertrochanteric fractures in the elderly is on the rise. Methods: from March 2004 to November 2014, the Department of Orthopedics and Joint of the first affiliated Hospital of Suzhou University performed artificial bipolar femoral head replacement in 20 elderly patients with intertrochanteric fracture of femur. The prosthesis material is designed by LINK company in Germany, and its biocompatibility is better. Results and discussion: the follow-up time was 6 months to 10 years and 2 months. The curative effect was satisfactory. The patients could move out of bed early after prosthesis replacement, the hip joint motion was good, the patient could recover to the life state before fracture as soon as possible. The quality of life is guaranteed. The HARRIS score showed good, excellent in 18 cases, good in 2 cases, fair in 0 cases and poor in 0 cases. The results showed that the artificial bipolar femoral head replacement in the treatment of intertrochanteric fracture of the femur could significantly shorten the bed-rest time of the patients after operation, which was beneficial to the early functional exercise out of bed, and the recovery effect was good. Is a relatively safe and effective alternative treatment. Conclusion: the artificial bipolar femoral head replacement is effective in the treatment of intertrochanteric fracture of the femur in the elderly. It can effectively avoid the complications such as the failure of internal fixation and the failure of reduction, and the stability of fixation is relatively high. At the same time, prosthesis replacement can obviously advance the time of the patients' off-bed activities, shorten the rehabilitation period of the patients, and make the fracture patients return to normal life as soon as possible, and the patients' satisfaction after operation is higher.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3
[Abstract]:Background: the incidence of intertrochanteric fractures in the elderly is on the rise. Methods: from March 2004 to November 2014, the Department of Orthopedics and Joint of the first affiliated Hospital of Suzhou University performed artificial bipolar femoral head replacement in 20 elderly patients with intertrochanteric fracture of femur. The prosthesis material is designed by LINK company in Germany, and its biocompatibility is better. Results and discussion: the follow-up time was 6 months to 10 years and 2 months. The curative effect was satisfactory. The patients could move out of bed early after prosthesis replacement, the hip joint motion was good, the patient could recover to the life state before fracture as soon as possible. The quality of life is guaranteed. The HARRIS score showed good, excellent in 18 cases, good in 2 cases, fair in 0 cases and poor in 0 cases. The results showed that the artificial bipolar femoral head replacement in the treatment of intertrochanteric fracture of the femur could significantly shorten the bed-rest time of the patients after operation, which was beneficial to the early functional exercise out of bed, and the recovery effect was good. Is a relatively safe and effective alternative treatment. Conclusion: the artificial bipolar femoral head replacement is effective in the treatment of intertrochanteric fracture of the femur in the elderly. It can effectively avoid the complications such as the failure of internal fixation and the failure of reduction, and the stability of fixation is relatively high. At the same time, prosthesis replacement can obviously advance the time of the patients' off-bed activities, shorten the rehabilitation period of the patients, and make the fracture patients return to normal life as soon as possible, and the patients' satisfaction after operation is higher.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3
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