| 摘要: |
| ［摘要］ 目的 探讨人工股骨头置换术在高龄股骨颈骨折中的治疗效果。方法 采用人工股骨头置换术治疗高龄股骨颈骨折48例，外侧切口入路35例，后外侧切口入路13例，全部采用双极人工股骨头，股骨柄假体均为骨水泥型。结果 48例治疗后均获随访2～6年，平均4.5年。按Harris标准评分：优44例，良2例，中2例，差0例，优良率95.83%。结论 采用双极人工股骨头置换术治疗高龄股骨颈骨折疗效满意。 |
| 关键词: 股骨颈骨折 人工股骨头置换术 |
| DOI：10.3969/j.issn.1674-3806.2010.12.31 |
| 分类号:R 683.42 |
| 基金项目: |
|
| Artificial femoral head replacement in the treatment of elderly patients with femoral neck fracture |
|
HE Zhong
|
|
Department of Orthopedics,Beiliu City People′s Hospital,Guangxi 537400,China
|
| Abstract: |
| ［Abstract］ Objective To explore the therapeutic effects of artificial femoral head replacement in the treatment of elderly patients with femoral neck fracture. Methods Forty-eight elderly patients with femoral neck fracture were treated by artificial femoral head replacement. Of them the operations in 35 patients were performed by lateral approach;the operations in 13 patients were performed by posterolateral approach. The bipolar artificial femoral head were adopted in all patients. All the femoral prothesis stems were bone cement type. Results The patients were followed up for two to six years with an average of 4.5 years. According to the Harris score standard, excellent effect were obtained in 44 patients, good in 2 patients, fair in 2 patients. No poor effect was found. The excellent and good rate was 95.83%. Conclusion Using bipolar artificial femoral head replacement in the treatment of elderly patients with femoral neck fracture can obtain satisfactory therapeutic effects. |
| Key words: Femoral neck fracture Artificial femoral head replacement |
