长柄人工股骨头置换术治疗高龄不稳定性股骨转子间骨折20例

Treatment of unstable femoral intertrochanteric fracture with hip prosthetic replacement in 20 elderly patients

摘要: 目的:探讨高龄患者不稳定性股骨转子间骨折行人工股骨头置换术的临床疗效。方法:采用人工股骨头置换术治疗高龄不稳定性股骨转子间骨折20例,并采用Harris评分评定优良率。结果:20例均顺利通过手术,随访时间6~36个月,髋关节功能接近或恢复到受伤前水平,Harris评分评定优良率为90%。结论:人工股骨头置换术是治疗高龄不稳定性股骨转子间骨折的较好选择。

Abstract: Objective:To evaluate the clinical effects of the hip prosthetic replacement in treating the unstable intertrochanteric fracture in elderly patients.Methods:Twenty elderly patients with unstable intertroehanteric fraetures were treated with hip prosthetic replacement,and the excellent and good rate in all cases were evaluated by Harris scoring system.Results:All operation were successful operation,the patients were followed up for 6 to 36 months.The hip joint function recovered to the pre-injury level.The excellent and good rate evaluated by Harris scoring system was 90%.Conclusions:The treatment of the unstable intertrochanteric fracture in elderly patients with hip prosthetic replacement is a better choice.