人工股骨头置换与防旋髓内固定治疗老年股骨转子间骨折的疗效分析

摘要

Objective:To investigate the curative effect analysis of artificial femoral head replacement and anti rotation intramedullary fixation in treatment of intertrochanteric fracture of femur in the elderly.Methods: 146 elderly patients with femoral intertrochanteric fractures were selected from January 2009 to December 2012.The were divided into the intramedullary fixation group of 69 patients and the artificial femoral head replacement group with 77 patients according to the operation method.We compared the intraoperative,postoperative complications,restoration of the two groups patients.Results:The effect of the two groups were satisfied;the length of incision,operation time,the amount of intraoperative bleeding of the intramedullary fixation group were better than those of the artificial femoral head replacement group;the hospitalization time,hip function score,the rate of complications of the artificial femoral head replacement group were better than those of the intramedullary fixation group. Conclusion:Two kinds of operation methods can be treated the fracture of femur in the elderly effectively.For patients with good physical condition,bone is stable.We can choose a preferred intramedullary fixation;for elderly patients with severe osteoporosis, and we can choose artificial joint replacement first.%目的：探讨髓内固定与人工股骨头置换治疗老年股骨转子间骨折的疗效。方法：2009年1月-2012年12月收治老年股骨转子间骨折患者146例。按手术方法分为髓内固定组69例，人工股骨头置换组77例。比较两组患者术中、术后并发症、恢复情况。结果：两组疗效均满意；髓内固定组切口长度、手术时间、术中出血量情况均优于人工股骨头置换组；人工股骨头置换组住院时间、术后髋关节功能评分、并发症发生率均优于髓内固定组。结论：两种手术方法均可以有效地治疗老年股骨转子间骨折。对于患者身体状况较好、骨质稳定者，可首选髓内固定；对于患有严重骨质疏松的老年患者，可以首选人工关节置换术。