| 摘要: |
| ［摘要］ 目的 比较人工股骨头置换与内固定治疗老年股骨转子间骨折的临床疗效。方法 选择2008-05～2013-08该中心接收的110例老年股骨转子间骨折患者随机分为实验组和对照组，每组55例。实验组施行人工股骨头置换术，对照组施行骨折内固定术。比较两组的临床疗效。结果 实验组的住院时间及开始康复训练时间明显短于对照组(P<0.05)；两组围手术期并发症发生率比较差异无统计学意义(P>0.05)；术后1个月、6个月实验组的Harris评分明显高于对照组（P<0.05），12个月后Harris评分差异无统计学意义（P>0.05）。结论 与骨折内固定相比，人工股骨头置换是治疗老年股骨转子间骨折的科学合理的选择。 |
| 关键词: 人工股骨头置换 骨折内固定 老年人 股骨转子间骨折 |
| DOI：10.3969/j.issn.1674-3806.2014.08.19 |
| 分类号:R 68 |
| 基金项目: |
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| Efficacy of arthroplasty versus internal fixation in the treatment of intertrochanteric fracture in elderly patients |
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ZHOU Peng-cheng
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Hechuan District People′s Hospital, Chongqing 401520, China
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| Abstract: |
| ［Abstract］ Objective To explore the clinical curative effect of artificial femoral head replacement versus internal fixation in the treatment of intertrochanteric fractures in elderly patients.Methods From May 2008 to August 2013 received 110 intertrochanteric fractures in the elderly patients were randomly divided into experimental group(n=55) and control group(n=55), and underwent artificial femoral head replacement or fracture internal fixation.Results The operation time, hospitalization time and the time of started rehabilitation training in the experimental group were shorter than those in the control group（P<0.05);There was no significant difference in the perioperative complications between two groups(P>0.05);The short term success rate in experimental group was significantly higher than in control group and there was no statistically significant difference in the long-term success rate between two groups.Conclusion The advantages of arthoplasty and internal fixation of fractures are different identical,compared with the internal fixation, artificial femoral head replacement is the scientific and rational choice for the treatment of intertrochanteric fractures. |
| Key words: Artificial femoral head replacement Internal fixation of fracture The elderly Intertrochanteric fractures |
