Different Treatments for 29 Cases of Femoral Neck Fracture in Elder People_West China Medical Journal

Authors：

1Department of Orthopedics, Tranditional Chinese Medicine Hospital of Ziyang City, Ziyang Sichuan 641300; 2Department of Orthopedics, West China Hospital, Sichuan University, Chengdu 610041, China;

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Keywords：

股骨頸骨折; 骨折內固定; 空心螺釘; DHS; 人工關節置換

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目的:總結空心螺釘、DHS或人工關節置換治療股骨頸骨折的適應證及效果。方法:分別用空心螺釘、DHS固定和人工關節置換3種方法治療獲得隨訪的中老年股骨頸骨折29例。年齡51～85歲,平均68.3歲。空心螺釘組8例,DHS組15例,人工關節組6例。結果:隨訪29例,隨訪時間1～3年,平均2~3年。圍手術期無1例死亡,無切口感染,無內固定斷裂,無關節脫位。發生退釘2例,股骨頭壞死1例。功能評定:優20例,良6例,差3例。結論:根據患者的年齡、經濟狀況、骨折部位、骨折分型合理地選擇治療方法,是減少并發癥,提高治療效果和老年人生活質量的關鍵。

Citation： WU Gang,TU Zhongqi,PEI Fuxing,et al. Different Treatments for 29 Cases of Femoral Neck Fracture in Elder People. West China Medical Journal, 2009, 24(8): 1969-1970. doi: Copy

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1. ROGMARK C, CARLSSON A, JOHNELL O, et al.A prospective randomizm trail of internal fixation versus arthroplasty for displaced fractures of the neck of the fenur,functional outcome for 450 patients at two years[J]. J Bone Joint Surg,2003,85(3):464.
2. LIDENUK J S, SVENSSON O. Intrnal fixation compared with total hip replacement fer displaced feme ral neck fractures in the ederly,amandomised,controlled trial[J].J Bone Joint Surg,2003,85(3):380.
3. 姚矢強,王黎明.人工髖關節置換手術治療高齡股骨頸骨折臨床研究[J].中國骨與關節損傷雜志,2007,10(10):810.
4. 胡孔足,卜海富.空心螺紋釘治療股骨頸骨折的滑動加壓原理[J].臨床骨科雜志,2004,7(4):370-372.
5. 皮安平,丁清和,楊冰,等.三枚空心釘內固定微創治療老年股骨頸骨折[J].中華創傷骨科雜志,2004,6(12):1417-1418.
6. 戴克戎,董凡,王以友.人工股骨頭置換治療股骨頸新鮮骨折的臨床評價[J].中華骨科雜志,1995,15(3):133.

West China Medical Journal

Different Treatments for 29 Cases of Femoral Neck Fracture in Elder People

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