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应用生物型普通柄假体治疗超高龄股骨粗隆间骨折的临床研究
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Abstract:
目的：探讨和分析应用生物型普通柄假体治疗超高龄股骨粗隆间骨折的疗效。方法：回顾性分析本组56例获得随访41例病例资料，男15例，女26例；年龄90~100岁，平均93.5岁。骨折类型按偏髓分型，Ia型8例，Ib型33例。患者多合并内科疾病，相关内科协同治疗后，对所有患者采用标准生物型普通柄假体(人工双极股骨头)置换术，术后早期进行康复锻炼。结果：56例患者住院期间死亡1例，余术后并发症均在住院期间治愈。术后1~3周下床活动。41个病例获得随访，随访时间12~46个月，平均28个月，患者均能生活自理。按Harris评分标准，优18例，良17例，可3例，差3例，优良率达87.5%。结论：施行生物型普通柄人工股骨头置换治疗超高龄粗隆间骨折，是一种有效的治疗方法，可早期下床活动，减少并发症，提高生活质量。
Objective: To explore and analyze the efficacy of biological common stem prosthesis in the treatment of femoral intertrochanteric fracture in the elderly. Methods: A retrospective analysis was made on the follow-up data of 41 cases in 56 cases, including 15 males and 26 females, with an average age of 93.5 years (93.5 years). According to the partial medullary type, there were 8 cases of type Ia and 33 cases of type Ib. Most of the patients were complicated with medical dis-eases. After the cooperative treatment of related internal medicine, all patients were treated with standard biological common stem prosthesis (artificial bipolar femoral head) replacement, and rehabilitation exercise was carried out early after operation. Results: One of the 56 patients died during hospitalization, and the other postoperative complications were cured during hos-pitalization. Get out of bed 1~3 weeks after operation. 41 cases were followed up for 12 to 46 months (mean 28 months). All the patients were able to take care of themselves. According to the Harris score, the results were excellent in 18 cases, good in 17 cases, fair in 3 cases and poor in 3 cases. The excellent and good rate was 87.5%. Conclusion: Biological common stem artificial femoral head replacement is an effective method for the treatment of over-aged intertrochan-teric fractures, which can get out of bed early, reduce complications and improve the quality of life.
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