【摘要】目的:探讨人工股骨头置换术治疗高龄股骨颈骨折的疗效。方法:对我院2004年1月～2008年12月收治的72例高龄股骨颈骨折行人工关节股骨头术治疗。并进行了10～40个月(平均21个月)的随访。结果:临床疗效按Harris评分标准。本组优良(≥80分)67例,占93.1%;尚可(70～79分)4例,占5.5%;差(<70分)1例,占1.3%。结论:高龄股骨颈骨折患者行人工关节置换术治疗,具有创伤小、手术时间短、减少卧床并发症,恢复髋关节功能等优点,是一种比较理想的治疗手段。

    【关键词】股骨颈骨折;股骨头置换;高龄

    【中图分类号】R687.3+4【文献标识码】A【文章编号】1007-8517(2010)12-082-2

    Effect of Artificial Hip Arthroplasy in Treatment of Senile Femoral neck Fracture

    Tao Jun,Dong Bin,Cui Haiyong. Department of Orthopaedic,First People’s hospital of Huainan City,anhui,232007,China

    【Abstract】Objective:To investigate therapeutic effects of femoral neck fracture with artificial joint replacement in senile patients. Methods:From Jan.2004 to Dec.2008,72 patients with femoral neck fracture were operated using artificial joint replacement. Patients were followed up for 10 months to 40 months. The average period of follow-up was 21 months. Results:The clinical effect was judged by Harris score system. 67 patients scored ≥80points,4 patients 70～79 points,and I patient<70 points. Conclusions:The method of artificial joint replacement is rather ideal method to treat the femoral neck fracture. It can recover movements of hip joint and decrease the complication rate of lying in bed and presented advantages of little wound and little time of operation. ......