摘要
[目的]评价全髋关节置换术、双极与单极人工股骨头置换术治疗老年股骨颈骨折的临床疗效。[方法]回顾性分析1990年2月-2005年2月期间的567例股骨颈骨折患者，分别行全髋关节置换术（275例）、双极（195例）与单极（97例）人工股骨头置换术治疗，随访时间3-15年，平均8.5年。对全部病例的手术时间、手术出血、引流量、住院时间、有无并发症以及术后功能恢复等情况进行比较。[结果]单极组与双极组在手术时间、手术失血量、引流量方面无明显差异（P〉0.05），但均优于全髋组（P〈0.05）；3组在住院时间方面无明显差异（P〉0.05）；但3组在术后功能评分和术后疼痛率方面均具有明显差异（P〈0.05），以全髋组为优，双极组次之，单极组最差。[结论]对于相对年轻、术后活动较多且身体条件较好的患者，建议选择全髋关节置换术；对于年龄较大，预期寿命短的患者，建议选用双极人工股骨头置换术；单极人工股骨头置换术存在较多并发症，应尽量避免应用。
[Objective] To estimate the clinical effects of total hip arthroplasty （THA）, bipolar and unipolar hemiarthroplasty for the treatment of femoral neck fractures （FNF） in the elderly. [ Method] From February 1990 to February 2005, a follow-up study was done in 567 patients with femoral neck fractures in the elderly. The patients were divided into THA （n=275）, bipolar hemiarthroplasty （n=195） and unipolar hemiarthroplasty （n=97） groups. The follow-up duration was from 3 to 15 years with an average of 8.5 years. The operation time, blood loss, volume of drainage, hospitalization time, complications and functional rehabilitation were compared.[ Result] There were no statistical differences in the operation time,blood loss and volume of drainage between unipelar and bipolar hemiarthroplasty groups. There were no statistical differences in hospitalization time among the three groups. Compared with bipolar hemiarthroplasty, THR had a longer operation time and more blood loss, but had a higher functional scores and a lower rate of pain. Unipolar hemiarthroplasty had a lower functional scores arid a higher rate of pain. [Conclusion] THR is especially suitable for those who are younger and active, bipolar hemiarthroplasty is suited to elderly patients, unipolar he-mi-arthroplasty should be avoided because of its complications.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2008年第24期1853-1855,共3页
Orthopedic Journal of China
关键词
股骨颈骨折
全髋
双极
单极
关节置换术
femoral neck fractures
total hip arthroplasty
bipolar
unipolar
arthroplasty
