首都医科大学学报 ›› 2004, Vol. 25 ›› Issue (2): 256-258.

• 论著·临床研究 • 上一篇    下一篇

人工股骨头置换术治疗老年人股骨颈骨折的疗效评价

李启祥1, 杨立新1, 桑双进1, 张则正2   

  1. 1. 北京大兴区红星医院;2. 首都医科大学附属北京天坛医院骨科
  • 收稿日期:2003-09-17 修回日期:1900-01-01 出版日期:2004-04-15 发布日期:2004-04-15

Clinical Results of Artifical Femoral Head Replacement for Treament of Femoral Neck Fracture in the Aged

Li Qixiang1, Yang Lixin1, Sang Shuangjin1, Zhang Zezheng2   

  1. 1. Beijing Daxing District Red Star Hospital;2. Beijing Tiantan Hospital, Affiliate of Capital University of Medical Sciences
  • Received:2003-09-17 Revised:1900-01-01 Online:2004-04-15 Published:2004-04-15

摘要: 为探讨人工股骨头置换术治疗老年人股骨颈骨折的临床疗效,应用钛合金骨水泥型国产单极股骨头假体治疗头下型、头颈型股骨颈骨折并得到随访的病人36例,均为单侧股骨颈骨折,随访2.0~5.6年。结果:术中无骨折及血管、神经损伤,术后无下肢深静脉血栓,无切口感染。根据病人情况适当功能锻炼,根据Harris评分法评定,优9例,良19例,中4例,差4例。提示:应用人工股骨头置换术治疗老年人股骨颈骨折效果满意。

关键词: 股骨颈骨折, 老年人, 髋假体, 人工股骨头置换术

Abstract: The aim was to evaluate the clinical results of the artificial femoral head replacement for treatment of femoral neck fracture in the aged. We cured the fractures with Chinese single polar titanium combined with cemented femoral head from September, 1995 to July, 2001.All of the fractures were under the head of femur or in the middle neck of femur. Thirty-six patients of them were followed-up ranging from 2.0~5.6 years. All of them had single femoral neck fracture. They were researched in the outpatient department. Results: No re-fracture, nor injuries of the blood vessels happened and nerves in the operations. No deep venous thrombosis of the lower limbs, nor infective wounds were found after the operations. Appropriate exercising was carried out according to different patient's conditions. Based on Harris evaluation system, 9 patients had excellent results. 19 patients had fine results, and 4 patients had fair results and 4 patients had poor results, (The patients who had poor results had other diseases that could influence walk.) Authors think that it's satisfied to use the artificial femoral head replacement for treatment of femoral neck fracture in the aged.

Key words: femoral neck fracture, the aged, hip prosthesis, artificial femoral head replacement

中图分类号: