摘要
目的 评价骨水泥型人工股骨头置换术治疗老年股骨粗隆间不稳定型骨折的临床效果。方法 总结应用本术式治疗的高龄、有明显骨质疏松的 2 0例股骨粗隆间不稳定型骨折患者临床资料 ,并与传统内固定术进行比较。结果 18例术后随访 2～ 2 4个月 ,髋关节功能接近或恢复到受伤前水平 ,无一例因手术并发症死亡 ,术后开始负重行走时间 7～ 30d。结论 该手术方法具有功能恢复好 ,并发症少 ,能早期离床活动等优点 ,手术危险性不比其他内固定术大。
Objective To summarize and evaluate the operative safety and the advantage of functional recovery of artificial femoral head arthroplasty in the treatemt of unstable intertrochanteric fracture of femur in the elderly patients.Methods 20 patients(male 8,female 12,average age was 81.2 years old) who suffered from the unstable intertrochanteric fracture of femur with serious osteoporosis had been treated by artificcal femoral head arthroplasty.Results 18 cases were followed up from 2～24 months.The operation time was 60～150 minutes and the amount of bleeding was 400～600ml.The ambulation time was 7～30 days after operation.There was no complication of slipped epikysis and the functions of hip joints were satisfied.Conclusion The operation may be a suitable alternative to internal fixation for the unstable intertrochanteric fracture in the elderly osteoporotic patients because the prosthesis provides for early full weighu-bearing and rapid rehabilitation.The postoperative rehabilitation is very important to the functional recovery of patients.
出处
《中国基层医药》
CAS
2004年第8期913-914,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
人工股骨头置换术
治疗
高龄
不稳定型股骨粗隆间骨折
Intertrochanteric fracture of femur
Artificial femord head arthroplasty
Osteoporosis
Rehabilitation
