人工股骨头置换术在高龄股骨近端骨折患者的临床应用被引量：9

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摘要目的比较人工股骨头置换术与防旋股骨近端髓内钉术(PFNA)治疗高龄股骨近端骨折患者的临床疗效。方法将55例高龄股骨近端骨折患者随机分为骨水泥人工股骨头置换术组(A组,25例)和防旋股骨近端髓内钉术(PFNA)组(B组,30例)。比较两组手术时间、术中出血量、术后患肢负重时间、Harris髋关节功能评分以及并发症等情况。结果与B组相比,A组手术时间缩短,术后下地时间减少,Harris髋关节功能评分增加(P<0.05)。A组无髋关节脱位、假体周围骨折情况发生,B组2例患者出现骨愈合延迟。结论人工股骨头置换术适用于高龄股骨近端骨折患者,可有效改善患者长期生活质量。

作者王庆邵阳谢斌徐兵

机构地区无锡市中医医院关节骨科江阴骨伤医院骨科

出处《江苏医药》 CAS 2017年第20期1496-1498,共3页 Jiangsu Medical Journal

关键词股骨头置换术股骨近端骨折老年

分类号 R683 [医药卫生—骨科学]

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