长柄双动人工股骨头置换术治疗高龄不稳定性股骨转子间骨折49例

Treatment of unstable femoral intertrochanteric fracture in elderly 49 patients with hip prosthetic replacement

摘要: 目的:评价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49例,应用Harris评分进行评定。结果:49例均顺利通过手术,住院期间无病死病例,随访时间6～36个月,髋关节功能接近或恢复到受伤前水平,生活可自理。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 effect of hip prosthetic replacement in treating unstable intertrochanteric fractures in senile patients.Methods: Totally 49 senile patients with unstable intertroehanteric fraetures were treated by hip prosthetic replacement， and its outcome evaluated by Harris scoring system.Results: Successful operation was achieved in 49 patients whose hip joint function recovered to the pre-injury level.The follow-up period ranged from 6 to 36 months.According to Harris standard-the rate of excellent and good was 83.8.Conclusions: It is a proper treatment for senile patients with osteoporosis and unstable femoral intertrochanteric fracture.