半髋关节置换术与全髋关节置换术在老年股骨颈骨折中的应用比较

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【摘要】目的：分析半髋与全髋关节置换术在老年股骨颈骨折中的应用。方法：选取我院2017年7月—2022年7月的75例老年股骨颈骨折患者，随机将其分成为两组。对照组采取半髋关节置换术，观察组采取全髋关节置换术。结果：观察组的切口感染、股骨颈短缩、假体松动、股骨上段破裂、静脉血栓和肌骨头缺血坏死发生率明显低于对照组（P0.05），术后，两组的生活感受、家庭支持、日常生活、活动能力和健康感受评分均明显升高（P

【关键词】半髋关节置换术；全髋关节置换术；临床效果；股骨颈骨折

Comparison of half hip replacement and total hip replacement in elderly patients with femoral neck fracture

CAO Heng， XUE Chao

Weinan Orthopedic Hospital， Weinan， Shaanxi 714000， China

【Abstract】Objective： To analyze the application of half hip replacement and total hip replacement in elderly patients with femoral neck fractures. Methods： 75 elderly patients with femoral neck fracture in our hospital from July 2017 to July 2022 were randomly divided into two groups. The control group was treated with half hip replacement， while the observation group was treated with total hip replacement. Results： The incidence of incision infection， femoral neck shortening， prosthesis loosening， femoral upper segment rupture， venous thrombosis and ischemic necrosis of muscle head in the observation group was significantly lower than that in the control group（P0.05）. After operation， the scores of life experience， family support， daily life， activity ability and health experience in both groups were significantly higher （P

【Key Words】Half hip replacement； Total hip replacement； Clinical effect； Femoral neck fracture

临床上常常采取内固定方法以及非手术疗法治疗老年股骨颈骨折，但是，内固定疗法需患者长时间保持卧床休息状态，容易发生肺部感染、静脉血栓、心功能衰竭和尿路感染等并发症，不利于股骨颈骨折患者的生活质量以及身心健康；而且非手术治疗不利于患者侧支的血液循环，容易引起骨折部位不愈合（10%～30%）以及股骨头坏死（10%～45%）等情况[1]。（剩余4250字）