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华西医学  2015 

人工髋关节置换术治疗老年股骨颈囊内骨折疗效分析

DOI: 10.7507/1002-0179.20150536, PP. 1866-1870

Keywords: 人工髋关节置换,股骨颈骨折,老年,囊内

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Abstract:

目的?观察人工髋关节置换术治疗老年股骨颈囊内骨折的临床疗效及对术后日常生活能力的影响。方法?选取2010年1月-2012年12月符合股骨颈囊内骨折(GardenⅢ、Ⅳ型),年龄65~85岁的患者198例,采取人工髋关节置换手术治疗。随诊观察患髋术后髋关节Harris评分、Barthel指数评分、术后并发症以及日常生活能力。结果?198例患者获1年以上(12~30个月,平均15.6个月)的随访。术后12个月Harris评分85~98分,平均94.5分。Barthel指数评分86~97分,平均94.0分。术后主要并发症包括切口皮下脂肪液化3例,下肢深静脉血栓形成2例,褥疮2例,肺部感染4例,脱位2例,疼痛4例,并且95%以上的患者恢复了术前的生活,治疗效果满意。结论?人工髋关节置换术治疗老年股骨颈囊内骨折疗效显著,可避免长期卧床引起的并发症,早期恢复日常生活能力,适合临床上广泛应用。

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