[1]曲广寅.全髋关节置换术与骨折内固定术对股骨颈骨折愈合及术后功能恢复的影响[J].医学信息,2021,34(24):105-107.[doi:10.3969/j.issn.1006-1959.2021.24.025]
　QU Guang-yin.Effect of Total Hip Arthroplasty and Internal Fixation on Femoral Neck Fracture Healing and Postoperative Functional Recovery[J].Medical Information,2021,34(24):105-107.[doi:10.3969/j.issn.1006-1959.2021.24.025]
点击复制

全髋关节置换术与骨折内固定术对股骨颈骨折愈合及术后功能恢复的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年24期
页码:
105-107
栏目:
临床研究
出版日期:
2021-12-15

文章信息/Info

Title:
Effect of Total Hip Arthroplasty and Internal Fixation on Femoral Neck Fracture Healing and Postoperative Functional Recovery
文章编号:
1006-1959（2021）24-0108-03
作者:
曲广寅
（解放军联勤保障部队天津康复疗养中心骨科，天津 300000）
Author(s):
QU Guang-yin
(Department of orthopedics,Tianjin Rehabilitation and Convalescent Center of the Joint Logistics Support Force ofthe Chinese People’s Liberation Army,Tianjin 300000,China)
关键词:
全髋关节置换术; 骨折内固定术; 股骨颈骨折; 髋关节功能
Keywords:
Total hip replacement; Fracture internal fixation; Femoral neck fracture; Hip joint function
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2021.24.025
文献标志码:
A
摘要:
目的 研究全髋关节置换术与骨折内固定术对股骨颈骨折愈合及术后功能恢复的影响。方法 选取2020年3月-2021年3月在我院诊治的86例股骨颈骨折患者为研究对象，采用随机数字表法分为对照组和观察组，各43例。对照组采用骨折内固定术治疗，观察组采用全髋关节置换术治疗，比较两组手术指标、Harris髋关节功能恢复优良率、生活质量、并发症发生情况及远期不良事件发生情况。结果 观察组手术时间、术中出血量大于对照组，术后下床活动时间、骨折愈合时间、住院时间均短于对照组，差异有统计学意义（P＜0.05）；观察组Harris髋关节功能恢复优良率为93.02%，高于对照组的83.72%，差异有统计学意义（P＜0.05）；两组生活质量评分均高于术前，且观察组高于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率低于对照组，差异有统计学意义（P＜0.05）；随访3个月，观察组不良事件发生率低于对照组，差异有统计学意义（P＜0.05）。结论 虽然全髋关节置换术治疗股骨颈骨折的手术时间较长，术中出血量多，但患者术后恢复时间短，可早期下床锻炼，且髋关节恢复优良率高，并发症发生率低，可有效预防远期不良事件，是一种可行的治疗方案。
Abstract:
Objective To study the effect of total hip arthroplasty and fracture internal fixation on femoral neck fracture healing and postoperative functional recovery.Methods A total of 86 patients with femoral neck fracture who were treated in our hospital from March 2020 to March 2021 were selected as the research objects. They were divided into control group and observation group by random number table method, with 43 cases in each group. The control group was treated with fracture internal fixation, and the observation group was treated with total hip replacement. The operation indexes, Harris hip joint function recovery rate, quality of life, complications and long-term adverse events were compared between the two groups.Results The operation time and intraoperative blood loss in the observation group were higher than those in the control group, and the postoperative ambulation time, fracture healing time and hospitalization time were shorter than those in the control group, the differences was statistically significant (P<0.05). The excellent and good rate of Harris hip joint function recovery in the observation group was 93.02%, which was higher than 83.72% in the control group, and the difference was statistically significant (P<0.05). The quality of life scores of the two groups were higher than those before operation, and the observation group was higher than the control group, the difference was statistically significant (P<0.05). The incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05). After 3 months of follow-up, the incidence of adverse events in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05).Conclusion Although the operation time of total hip arthroplasty for femoral neck fracture is long and the intraoperative blood loss is large, the postoperative recovery time of patients is short, and they can get out of bed early, and the excellent and good rate of hip joint recovery is high, the incidence of complications is low, which can effectively prevent long-term adverse events. It is a feasible treatment scheme.

参考文献/References:

[1]范磊,李杰,赵大中.双极人工股骨头置换术与全髋关节置换术治疗老年股骨颈骨折疗效对比分析[J].河北医学,2018,24(5):830-834. [2]张广亮.全髋关节置换术与人工股骨头置换术治疗老年股骨颈骨折的疗效比较[J].中国现代医生,2018,56(11):62-64.[3]骆雷锋,袁文旗,刘照树.全髋关节置换术与股骨头置换术治疗老年股骨颈骨折的效果对比[J].创伤外科杂志,2018,20(6):467-470. [4]冯佳男,张文化,雷洋.闭合复位空心钉内固定与全髋关节置换术在移位型股骨颈骨折老年患者中的应用效果对比[J].临床和实验医学杂志,2018,24(13):1412-1415. [5]陆传宝.全髋关节置换术与骨折内固定术在股骨颈骨折治疗中的临床效果比较[J].中国全科医学,2020,23(1):180-181.[6]胡德洪,彭仲华,谢学文,等.人工股骨头置换术与人工全髋关节置换术治疗老年股骨颈骨折的疗效对比[J].现代诊断与治疗,2017,28(10):1876-1877. [7]刘欢欢,关亚军,王巧霞,等.比较人工股骨头置换术和全髋关节置换术治疗老年股骨颈骨折的疗效及对生活质量的影响[J].中国老年学杂志,2017,37(6):1457-1458.[8]鲁学良,孙天宇,石辉辉,等.闭合复位动力髋螺钉内固定与全髋关节置换术治疗老年股骨颈骨折的疗效比较[J].中国骨与关节损伤杂志,2020,35(8):814-816. [9]李育刚,曾智谋,许泽川,等.全髋关节置换术治疗老年移位型股骨颈骨折的临床研究[J].创伤外科杂志,2018,20(8):587-590.[10]王添兴,李国庆,汪洋,等.股骨颈骨折闭合复位空心加压螺钉内固定术后股骨头坏死的影响因素分析[J].实用骨科杂志,2019,25(2):105-108,112.[11]张立志,高杰,张志成,等.人工髋关节置换和空心钉内固定治疗高龄患者股骨颈骨折的临床疗效对比[J].中国骨伤,2018,31(2):103-110. [12]肖卫东,喻爱喜,潘振宇,等.老年股骨颈骨折髋关节置换术时机选择与临床疗效及预后分析[J].河北医学,2019,25(4):643-648.[13]陈治,张银刚,高海聪.微创技术应用于不同类型髋关节置换术对老年股骨颈骨折患者的效果分析[J].山西医药杂志,2018,47(21):2577-2578.[14]裴世群.人工全髋关节置换和闭合复位空心钉内固定治疗股骨颈骨折的疗效观察[J].中国医药指南,2017,15(19):63．[15]Hernandez NM,Chalmers BP,Perry KI,et al.Total Hip Arthroplasty After In Situ Fixation of Minimally Displaced Femoral Neck Fractures in Elderly Patients[J].J Arthroplasty,2018,33(1):144-148.[16]王星明,张良,纪东兴,等.半髋关节置换与空心加压螺钉内固定治疗高龄骨质疏松性股骨颈骨折的疗效对比分析[J].宁夏医学杂志,2017,39(10):904-906．

相似文献/References:

[1]杨书娇.早期康复护理对股骨颈骨折患者全髋关节置换术后功能恢复的影响[J].医学信息,2018,31(22):184.[doi:10.3969/j.issn.1006-1959.2018.22.056]
　YANG Shu-jiao.Effect of Early Rehabilitation Nursing on Functional Recovery after Total Hip Arthroplasty in Patients with Femoral Neck Fracture[J].Medical Information,2018,31(24):184.[doi:10.3969/j.issn.1006-1959.2018.22.056]
[2]钱文彬.微创DAA行全髋关节置换术对患者恢复及预后的影响[J].医学信息,2019,32(23):115.[doi:10.3969/j.issn.1006-1959.2019.23.032]
　QIAN Wen-bin.Minimally Invasive DAA Approach for Total Hip Arthroplasty for Postoperative Functional Recovery and Prognosis[J].Medical Information,2019,32(24):115.[doi:10.3969/j.issn.1006-1959.2019.23.032]
[3]周 亮,徐洪军.发育性髋关节脱位行THA后完全负重行走的影响因素分析[J].医学信息,2020,33(12):107.[doi:10.3969/j.issn.1006-1959.2020.12.033]
　ZHOU Liang,XU Hong-jun.Analysis of Influencing Factors of Full Weight Walking After THA in Developmental Dislocation of Hip[J].Medical Information,2020,33(24):107.[doi:10.3969/j.issn.1006-1959.2020.12.033]
[4]闫 亮,吕守正.全髋关节置换术治疗髋臼骨折继发创伤性髋关节炎和股骨头坏死的远期效果[J].医学信息,2020,33(14):105.[doi:10.3969/j.issn.1006-1959.2020.14.031]
　YAN Liang,LYU Shou-zheng.Medium and Long-term Effects of Total Hip Arthroplasty in the Treatment of Traumatic Hip Arthritis and Femoral Head Necrosis Secondary to Acetabular Fractures[J].Medical Information,2020,33(24):105.[doi:10.3969/j.issn.1006-1959.2020.14.031]
[5]刘 宁.围术期预见性护理对全髋关节置换术患者术后关节脱位的预防效果观察[J].医学信息,2022,35(04):190.[doi:10.3969/j.issn.1006-1959.2022.04.052]
　LIU Ning.Preventive Effect of Perioperative Predictive Nursing on Postoperative Joint Dislocationin Patients with Total Hip Arthroplasty[J].Medical Information,2022,35(24):190.[doi:10.3969/j.issn.1006-1959.2022.04.052]
[6]滕若凌,赵 杰.全髋关节置换术前血脂水平与术后引流的关系[J].医学信息,2023,36(10):84.[doi:10.3969/j.issn.1006-1959.2023.10.019]
　TENG Ruo-ling,ZHAO Jie.Relationship Between Preoperative Blood Lipid Level and Postoperative Drainage in Total Hip Arthroplasty[J].Medical Information,2023,36(24):84.[doi:10.3969/j.issn.1006-1959.2023.10.019]
[7]何治江,赵 玲,张朝贵,等.腰方肌阻滞与髂筋膜阻滞用于全髋关节置换术后镇痛效果的Meta分析[J].医学信息,2023,36(12):13.[doi:10.3969/j.issn.1006-1959.2023.12.003]
　HE Zhi-jiang,ZHAO Ling,ZHANG Chao-gui,et al.Meta-analysis of Analgesic Effect of Quadratus Lumborum Block and Fascia Iliac Block After Total Hip Arthroplasty[J].Medical Information,2023,36(24):13.[doi:10.3969/j.issn.1006-1959.2023.12.003]
[8]张涛根.氨甲环酸联合抗生素降低侧卧位DAA入路全髋关节置换患者围术期感染的有效性研究[J].医学信息,2023,36(12):152.[doi:10.3969/j.issn.1006-1959.2023.12.031]
　ZHANG Tao-gen.Efficacy of Tranexamic Acid Combined with Antibiotics in Reducing Perioperative Infection in Lateral Decubitus DAA Approach for Total Hip Arthroplasty[J].Medical Information,2023,36(24):152.[doi:10.3969/j.issn.1006-1959.2023.12.031]
[9]钟 晶.围术期预见性护理对全髋关节置换术患者术后患肢功能恢复及关节脱位的预防效果[J].医学信息,2023,36(22):167.[doi:10.3969/j.issn.1006-1959.2023.22.039]
　ZHONG Jing.Preventive Effect of Perioperative Predictive Nursing on Postoperative Limb Function Recovery and Joint Dislocation in Patients Undergoing Total Hip Arthroplasty[J].Medical Information,2023,36(24):167.[doi:10.3969/j.issn.1006-1959.2023.22.039]

更新日期/Last Update: 1900-01-01