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1、·26·中國實(shí)用醫(yī)刊2014年7月第41卷第13期ChineseJournalofPracticalMedicineJuly2014．vo1．41．No．13骨水泥型人工股骨頭置換在高齡股骨頸骨折患者中的臨床應(yīng)用茍凌云徐攀峰【摘要】目的探討骨水泥型雙極人工股骨頭置換治療高齡股骨頸骨折的方法及臨床療效。方法回顧性分析2008年3月至2012年8月經(jīng)骨水泥型雙極人工股骨頭置換術(shù)治療的95例高齡股骨頸骨折患者的臨床資料。結(jié)果患者均手術(shù)順利，手術(shù)時(shí)間為(46．5±3．5)min，術(shù)中出血量為(195．0±4．5)ml。術(shù)后x線片示股骨假體位置良好，無髖內(nèi)、外翻，無壓瘡、墜積性肺炎、泌尿系統(tǒng)感染或深靜
2、脈血栓形成等并發(fā)癥發(fā)生。Harris髖關(guān)節(jié)功能評(píng)分優(yōu)73例、良l5例、可6例、差1例，優(yōu)良率為92．6％。隨訪1l一26個(gè)月，67例逐漸棄拐行走，28例需扶拐行走。復(fù)查x線片見髖臼磨損3例，髖臼負(fù)重區(qū)輕度硬化3例，骨水泥與假體周圍出現(xiàn)透亮區(qū)2例，股骨距吸收2例，無假體脫位、松動(dòng)、下沉、感染等發(fā)生。結(jié)論骨水泥型雙極人工股骨頭置換術(shù)治療高齡股骨頸骨折創(chuàng)傷小、出血少，可早期下床康復(fù)鍛煉，明顯減少并發(fā)癥，臨床應(yīng)用安全，療效滿意?！娟P(guān)鍵詞】骨水泥型人工股骨頭；高齡；股骨頸骨折Clinicalapplicationofbonecementtypeofartificialfemoralheadreplac
3、ementintreatmentofse-nilepafien~withfemoralneckfractureGOULing—yun．XUPan-reng．DepartmentofOrthopae—dics，LiuzhouTraditionalChineseMedicineHospital，Liuzhou545001，China【Abstract】objectiveToinvestigatethemethodsandclinicaleffectsofbonecementtypeofartificialfemoralheadreplacementintreatmentofsenilepatie
4、ntswithfemoralneckfracture．Meth-odsTheclinicaldataof95senilepatientswithfemoralneckfracturetreatedbybonecementtypeofar—tificialfemoralheadreplacement，fromMarch2008toAugust2012，wereretrospectivelyanalyzed．Re·suitsAllpatientshadsuccessfuloperations，theoperationtimewas(46．54-3．5)min，andthebleedingvolu
5、meduringoperationwas(195．0±4．5)m1．PostoperativeX—rayshowedthefemurprosthesislocationwasfine．Therewerenocomplicationssuchashipvarusorvalgus，pressuresores，hypostaticpneumoni—a，urinarysysteminfection，deepvenousthrombosis．Harrishipjointfunctionscore：73caseswereex—cellent，15casesweregood，6caseswereOK，an
6、d1casewaspoor，thegoodandexcellentratewas92．6％．Thefollow—upwas11to26months，67casescouldwalkwithoutcrutches，28casesneededtowalkwithcrutches．ThereviewedX—rayshowed3casesofacetabulumabrasion，3casesofmildharden—inginacetabulumweight—bearingarea，2casesofbrightzonearoundthebonecementandprosthesis，2casesof
7、calcarfemoraleabsorption，buttherewasnoprosthesisdrop，loosening，subsidenceorinfection．ConclusionsThebonecementtypeofartificialfemoralheadreplacementintreatmentofsenilefemoralneckfracturehastheadvantagesofsma
