摘要
目的研究老年股骨颈骨折应用全髋和半髋关节置换术的治疗效果。方法随机选取2015年5月—2017年5月收治的84例老年股骨颈骨折患者作为研究对象,将采用不同关节置换术的老年患者均分为两组(n=42),A组采用全髋关节置换术,B组采用半髋关节置换术,对比两组患者治疗效果。结果术后复查,A组髋臼完好率为85.7%,B组髋臼完好率为45.2%(χ^2=13.4821,P<0.05);其中,A组的髋臼磨损、增生等发生率分别为7.1%,2.3%,B组的髋臼磨损、增生等发生率分别为23.8%,19.0%,数据对比差异有统计学意义(P<0.05);术后10个月,两组的Harris评分,结果差异无统计学意义(P>0.05),但综合来看,A组Harris评分情况要优于B组;对比手术指标,B组患者的手术时间、术中出血量等指标均低于A组(t=5.649,18.457,P<0.05),A组患者的完全负重时间短于B组,并发症发生率低于B组,数据对比差异有统计学意义(t=8.341,4.480,P<0.05)。结论全髋关节置换术在老年股骨颈骨折中的应用治疗,可较早实现完全负重,降低术后并发症。在临床应用中,可结合老年患者的实际身体状况,优先选用该方式治疗。
Objective To study the effect of total hip and hemiarthroplasty in the treatment of femoral neck fracture in the elderly. Methods A total of 84 elderly patients with femoral neck fracture were randomly selected from May 2015 to May 2017. The elderly patients with different joint replacement were divided into two groups (n=42). Group A was treated with total hip replacement and Group B was treated with hemiarthroplasty. The therapeutic effects of the two groups were compared. Results The rate of acetabular integrity was 85.7% in group A, 45.2% in group B(χ^2=13.482 1,P<0.05). The incidence of acetabular wear and hyperplasia in group A was 7.1%, 2.3%, and 23.8%, 19% in group B(χ^2=4.2,4.168,P>0.05). In 10 months after operation, the Harris score of group B was lower than that of group A, without statistical significance(P>0.05). But overall, the Harris score of group A was better than that of group B (P>0.05). The total weight-bearing time of group A was shorter than that of group B(t=5.649,18.457,P<0.05), and the incidence of complications of group A was lower than that of group B. The data had statistical significance(t=8.341,4.480 P<0.05). Conclusion Total hip arthroplasty in the treatment of femoral neck fracture in the elderly can achieve full weight bearing earlier and reduce postoperative complications. In clinical application, it is preferable to use this method in combination with the actual physical condition of elderly patients.
作者
段长永
DUAN Chang-yong(Department of Orthopaedics, People's Hospital of Lingcheng District, Dezhou, Shandong Province, 253500 China)
出处
《系统医学》
2019年第10期14-16,共3页
Systems Medicine
关键词
股骨颈骨折
全髋关节置换术
半髋关节置换术
术后并发症
Femoral neck fracture
Total hip replacement
Hemiarthroplasty
Postoperative complications
作者简介
段长永(1979-),男,山东德州人,本科,主治医师,研究方向:有关髋关节置换。
