AFHR治疗老年股骨粗隆间骨折患者的临床效果

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Clinical Effect of AFHR in the Treatment of Elderly Patients with Intertrochanteric Fracture of Femur/LI Longlin. //Medical Innovation of China， 2025， 22（10）： 136-139

[Abstract]Objective： To investigate the application value of artificial femoral head replacement （AFHR） inelderlypatients withintertrochantericfractureoffemur（IFF）.Method：Atotalof 60elderly patients with IFF， all admitted to from January 2021 to June 2023， and were divided into two groups according to random number table method， with 30 cases in each group.The control group underwent proximal femoral nailantirotation （PFNA）intenal fixation，and theobservation group underwent AFHR.Surgical status，hip function，dailylivingabilitylowerlimbmotorfunction，qualityoflifeandcomplications werecomparedbetweenthe two groups.Result：Compared with the control group，the operation time inthe observation groupwas longer，getting out of bed was earlier and hospitalization was shorter， intraoperativeblood loss and postoperative drainage volume were more （ P <0.05）.Compared with the control group， 6 months after surgery， Harris score， Barthel index （BI），FuglMeyer assessment （FMA）oflower limb andquality oflife scores inobservation group werehigher，thedifferences were statistically significant （ P <0.05）.There was no significant difference in the incidence of complications between the two groups （ P >0.05）. Conclusion： The treatment of AFHR on elderly patients with IFF can accelerate the recoveryofhipfunction，beterimprovethe abilityof dailyliving andlowerlimb mobility，but theintraoperative blood lossis large， need to be carefully selected according to the clinical characteristics of the disease.

[Key words]Intertrochanteric fracture of femurArtificial femoral head replacementProximal femoral nail antirotation internal fixation Complications

First-author's address： Department of Orthopedics， ， 562300 China

doi：10.3969/j.issn.1674-4985.2025.10.032

股骨粗隆间骨折（IFF）常由低能量损伤所致，与年龄、骨质疏松关系密切，骨折后可破坏髋关节功能，引起髋部疼痛、活动受限等，若不及时治疗，在卧床休息期间易并发褥疮、泌尿系统感染等并发症，增加老年患者死亡风险-。（剩余5076字）