【摘要】 目的 总结人工关节置换治疗老年不稳定型转子间骨折的方法和疗效。方法 采用人工关节置换术治疗28例老年不稳定型转子间骨折,对手术时间、出血量、术后并发症及Harris关节功能评分进行观察、统计。结果 平均手术时间80 min,出血量400 ml,术后并发症主要为尿储留、电解质紊乱、血糖增高等,无一例临床并发症及人工关节置换特异性并发症发生。术后随访6个月~3年,未见假体松动、脱位,Harris评分平均87分。结论 人工关节置换术是治疗老年不稳定型转子间骨折的安全有效的方法,具有缩短术后恢复时间,早期行功能锻炼,避免卧床并发症的特点。

    【关键词】人工关节置换术;股骨转子间骨折;老年人

    【Abstract】 Objective To summarize the method and effect of artificial joint replacement for the treatment of unstable intertrochanteric fractures of the elderly.Methods The results of 28 arthroplasties in elderly patients with unstable intertrochanteric fractures were reviewed.The main operating time,the average blood loss,surgery complications and Harris joint function score were observed an counted.Results The mean operating time was 80 min,the average blood loss was 400 ml.There were no specific complications from bed rest and artificial joint replacement.The common postoperative complications were urinary retention,and electrolytic disorder,hyperglycemia,ect.The followed up period ranged 6 months to 3 years,no prosthesis had loosening and dislocation.The average score of post operation was 87 acoding to Harris standard.Conclusion Artificial joint replacement is an effective way for the treatment of unstable intertrochanteric fractures of the elderly.It can shorten the postoperative recovery time,and have a early line of functional exercise,and avoid complications of bed resting. ......