高龄股骨粗隆部骨折人工关节置换术的手术策略

【摘要】 目的:探讨高龄股骨粗隆部骨折患者进行人工关节置换的手术方法。方法:采用人工关节置换术治疗高龄不稳定型股骨粗隆部骨折56例。结果:高龄患者入院后至手术完成平均所用时间2.5天,手术时间平均1.5小时,术中输血平均采用4U的红血球。其中常见的并发症包括泌尿系统的感染5例、大粗隆部骨不连1例。手术优良率72%。大部分患者恢复了骨折前的行走水平,少数患者需要使用助行器帮助行走。手术并没有影响高龄患者其他主要器官的正常指标,并且未见有感染、松动、脱位的患者。结论:对于患股骨粗隆部骨折的高龄患者,大部分采用人工关节置换术治疗,使关节功能尽早恢复,生活质量得到提高。更多还原

【Abstract】 Objective:To analyze and discuss the treatment of patients with artificial joint replacement surgery for the elderly population trochanteric fractures.Methords:The artificial joint replacement surgery was used to treat 56 elderly patients suffered from unstable trochanteric fractures.Results:The average time from the elderly patients were admitted in hospital to the surgery was completed was 2.5 days,the mean operative time was 1.5h,an average of four units of red blood cells were transfused.The common complications included urinary tract infection(5 cases),large trochanteric nonunion(1 case).The excellent and good rate was 72%.Most patients return to pre-fracture walking level,a small number of patients walked using a walker.The surgery did not affect the other major organs in the elderly patients,and there were no infection,loosening,dislocation.Conclusions:According to the elderly patients suffered from unstable trochanteric fractures,the artificial joint replacement could restore the joint function as soon as possible and improve the life quality.更多还原