股骨距重建后加长柄股骨头置换治疗高龄股骨转子间骨折

摘要

ObjectiveTo study the efficacy of femoral reconstruction after extended handle femoral head replacement in the treatment of senile femoral intertrochanteric fracture.Methods Patients with unstable senile femoral intertrochanteric fracture were treated by reposition and fixation,and reconstructed of the femur,after artificial femoral head replacement,according to the conventional treatment after hip replacement.ResultsFolowed up 6~53 months,except for 1 case during hospitalization died of lung infection,4 cases died of other medical disease,1 period of infection of the body,according to harris score,28 cases,7 cases,2 cases “good”. Conclusion From the femoral reconstruction using bone cement type longer handle artificial femoral head replacement for senile femoral fractures between rotor fewer complications,curative effect is satisfied.%目的：探讨股骨距重建并骨水泥型加长柄人工股骨头置换治疗高龄不稳定型股骨转子间骨折的疗效。方法高龄患者股骨转子间不稳定骨折，术中首先行股骨转子间骨折复位固定，重建股骨距，后行人工股骨头置换术，术后依照髋关节置换术后常规治疗。结果随访6～53个月，期间除1例住院期间死于肺部感染、4例死于其他内科疾病、1例假体周围感染，根据Harris评分，优28例、良7例、差2例。结论股骨距重建后应用骨水泥型加长柄人工股骨头置换治疗高龄股骨转子间骨折并发症少，疗效满意。