[摘要]目的 探讨80岁以上股骨粗隆间骨折病人采用人工关节置换的手术方法及疗效。方法 随机选择80岁以上股骨粗隆间骨折病人21例，骨折按Evans分类，Ⅲ型6例，Ⅳ型14例，Ⅴ型1例，行人工关节置换手术，术后进行早期功能锻炼。结果 术后17例获得随访，随访时间6～34个月，平均20个月。人工关节置换优良率为 89.4%， 随访期间未发现置换关节松动和感染。结论 80岁以上股骨粗隆间骨折病人行人工关节置换治疗，操作可行，疗效满意。

     [关键词] 股骨骨折;人工关节;外科手术

    PROSTHETIC REPLACEMENT IN THE TREATMENT OF UNSTABLE INTERTROCHANTERIC FRACTURES IN PATIENTS OVER EIGHTY YEARS OLD

    DENG NIAN，FAN XUE-MEI， LIU YONG-HUI， et al

    (Department of Orthopaedics ，Hiser Hospital of Qingdao ，Qingdao 266033， China)

    [ABSTRACT]ObjectiveTo study the operation methods and clinical effect of hipprosthesis replacement for intertrochanter-ic fracture in people over 80 years old. MethodsTwenty-one patients were treated with prosthesis replacement ......