| 中老年股骨颈骨折全髋关节置换术和骨折内固定术临床比较 |
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投稿时间：2001-11-20
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| 期刊信息：《中国骨伤》2002年，第15卷，第9期，第518-520页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:比较全髋关节置换术和骨折内固定术治疗中老年股骨颈骨折的疗效。
方法:对55～65岁有移位新鲜股骨颈骨折患者72例的治疗情况进行回顾分析,其中42例行骨折内固定术,30例行全髋关节置换术,进行了住院情况,术后1年,术后3年功能评估。
结果:全髋关节置换组在手术时间,术后早期下床活动等方面具有一定的优越性,但全髋关节置换假体费用较贵,患者术后能够生活自理,从事一般工作,但3年后有2例出现假体松动。骨折内固定组有32例3年后无任何并发症发生,髋关节功能活动良好,且能够从事正常体力劳动。
结论:中老年股骨颈骨折患者手术治疗应首选骨折内固定术治疗。 |
| 【关键词】股骨颈骨折 髋假体 骨折固定术,内 |
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| A comparative study of the results of treatment of femoral neck fracture in the middle age with total hip joint replacement and internal fixation |
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ABSTRACT
Objective:To compare the results of the total hip replacement (THR) and internal fixation (IF) on the treatment of the femoral neck fracture in the middle aged patients
Methods:72 patients (aged from 55 to 65 years) of displaced femoral neck fracture were reviewed.Of them,42 cases were treated with THR and 30 cases with IF;then the hospital information and the functional assessment of 1 and 3 years after operation were compared.
Results:The THR group showed superiority such as shorter operation time and early exercises,but the prosthesis was more expensive and 2 cases had radiological loosening after 3 years.32 cases of the IF group had no complications and can have physical labor after 3 years.
Conclusion:IF is a better method of choice for the treatment of the femoral neck fracture in the middle aged patients. |
| KEY WORDS Femoral neck fracture Hip prosthesis Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 吕朝晖,许学猛,温振杰.中老年股骨颈骨折全髋关节置换术和骨折内固定术临床比较[J].中国骨伤,2002,15(9):518~520 |
| 英文格式: | LV Zhao hui,XU Xue meng,WEN Zhen jie.A comparative study of the results of treatment of femoral neck fracture in the middle age with total hip joint replacement and internal fixation[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(9):518~520 |
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