老年移位型股骨颈骨折全髋关节置换术后疗效分析(1)
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摘要：目的：对老年移位型股骨颈骨折施行人工全髋关节置换术患者进行随访，讨论术后疗效，提供预后参考资料。
方法：2007年1月～2011年5月，海洋石油总医院骨科对收治的33例有活力的认知功能良好的老年移位型股骨颈骨折(GardenⅢ-Ⅳ)患者施行人工全髋关节置换术，男9例，女24例，年龄66～83岁，平均71.5岁。统计术后并发症，术后进行随访，统计死亡率、存活患者患髋功能恢复程度。
结果：按Harris髋关节评分标准，术后优17例，良13例，可3例，疗效满意，预后良好。
结论：对有活力的认知功能良好的老年移位型股骨颈骨折患者主张行人工全髋关节置换术，并发症发生率低，术后随访髋关节功能恢复良好。
关键词：股骨颈骨折 老年患者 全髋置换术 疗效分析
Curative Effect Of Total Hip Arthroplasty (THA) In Treatment Of Senior Patients With Displaced Femoral Neck Fracture
Guo Junhui Li Guosheng
Abstract:Objective:An follow up study was done on senior patients with displaced femoral neck fracture who were treated with THA, discuss the effects of surgery and provide the references of prognosis.
Methods:From January 2007 to May 2011 , 33 senior patients with femoral neck fracture(GardenⅢ～Ⅳ) accepted THA in the Orthopaedics department of the Cnooc general Hospital , There were 9 males 24 females with the mean age of 71.5 years(ranged 66～83 years ) , count complications after operation , followed up after operation , added up mortality and observed recovery of the hip function of survival patients.
Result:According to Harris hip scoring system , there were 17 excellent cases 、13 good case and 3 fair cases , the effect is satisfactory and the prognosis is good.
Conclusion:The senior patients who was active and no cognitive impairment with displaced femoral neck fracture should accept THA, the complication rate is lower, the follow-up result of the hip function after operation is good.
Keywords:Femoral neck fracture Senior patient Total hip arthroplasty Curative effect
【中图分类号】R4【文献标识码】A 【文章编号】1008-1879(2012)07-0023-02
股骨颈骨折是老年人(年龄大于65岁，采用发达国家老年人界定标准)常见的严重创伤，随着人口老年化情况日益严重，股骨颈骨折的发生率随之上升，据估计在1990年全世界范围内髋部骨折约有166万例，随着老年人口的增长，到2050年这一数字将上升到625万例 ......
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