Study on the efficacy of artificial femoral head replacement in elderly patientswith comminuted intertrochanteric fractures
高龄股骨粗隆间粉碎性骨折患者采用人工股骨头置换后的疗效研究

摘要

目的 探析高龄股骨粗隆间骨折患者采用人工股骨头置换后的疗效。方法 选取2019年1月-2022年11月在我院接受治疗的60例高龄股骨粗隆间粉碎性骨折患者作为研究对象，随机分为对照组与研究组。对照组应用股骨近端内固定手术治疗，研究组应用人工股骨头置换术治疗，治疗后对比卧床时间，术后第一次下地负重时间，Harris髋关节评分、VAS疼痛评分。结果 研究组卧床时间、术后第一次负重行走时间均短于对照组；Harris髋关节评分高于对照组；术后6h、术后3d VAS疼痛评分均低于对照组，差异有统计学意义（P＜0.05）。结论 人工股骨头置换术使高龄股骨粗隆间煅性性骨折患者的整体治疗时间明显变短，有效避免长期卧床并发症。增强了早期髋关节的运动功能。

Abstract

Objective To explore the efficacy of artificial femoral head replacement in elderly patients with femoral intertrochanteric fractures.
Methods Sixty elderly patients with comminuted intertrochanteric fractures of the femur who were treated in our hospital from January 2019 to November 2022 were selected as research subjects and randomly divided into a control group and a study group. The control group was treated with proximal femoral internal fixation surgery, while the research group was treated with artificial femoral head replacement. After treatment, the time of bed rest, the time of first weight bearing after surgery, Harris hip joint score, and VAS pain score were compared.
Results The time of bed rest and the first postoperative weight bearing walk in the study group were shorter than those in the control group; Harris hip joint score was higher than that of the control group; The VAS pain scores at 6 hours and 3 days after surgery were significantly lower than those in the control group (P<0.05).
Conclusion   Artificial femoral head replacement can significantly shorten the overall treatment time for elderly patients with intertrochanteric calcined fractures of the femur, effectively avoiding long-term bed rest complications. Enhanced early hip joint motion function.