| 摘要: |
| ［摘要］目的 评价不同假体选择的人工髋关节置换术治疗老年人骨质疏松性股骨颈骨折的早期疗效及安全性．方法 2006年1月至2014年4月收治的387例老年骨质疏松性股骨颈骨折接受人工髋关节置换术，年龄65～98岁，平均76.9岁，生物型全髋107例，骨水泥型全髋94例，生物型人工股骨头104例，骨水泥型人工股骨头82例．从手术时间、出血量、术后下地时间、并发症发生率进行比较．结果 生物型髋关节置换术平均手术时间（50±10.3）min，出血量（149±27.7）mL，并发症发生率21%优于骨水泥型（61±11.5）min，（205±47.3）mL、38%，差异具有统计学意义（P＜0.05）．其他观察观察指标无统计学意义（P＞0.05）．结论 年龄相对小，骨皮质厚，预计寿命长的患者选择生物型人工关节置换．年龄较大、体质弱，骨皮质薄的患者，选择骨水泥型人工关节置换． |
| 关键词: ［关键词］人工髋关节置换术 股骨颈骨折 骨质疏松 老年人 |
| DOI： |
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| 基金项目:［基金项目］云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目（2013FB144） |
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| Different Prostheses in Artificial Hip Replacement for Osteoporotic Femoral Neck Fracture in Elderly Patients |
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LIANG Da-wei
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（The 1st Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650032，China）
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| Abstract: |
| ［Abstract］Objective To evaluate the early effect and safety of artificial hip replacement for treating senile osteoporosis femoral neck fractures with different prostheses choice. Methods From January 2006 to April 2014， 387 patients with senile osteoporotic femoral neck fractures received artificial hip replacement. Their average age was 65 to 98 years old， with the average of 76.9 years old. Four prostheses were used in the artificial hip replacement， including 107 cases of biological total hip，94 cases of bone cement type total hip，104 cases of biotype artificial femoral head，and 82 cases bone cement artificial femoral head. We compared the operation time，bleeding amount，postoperative ambulation time，postoperative complication rate among the four prostheses. Results The biological hip replacement were superior to bone cement type in the operation time（50±10.3 min vs 61±11.5 min），bleeding amount（149±27.7 ml vs 205±47.3 ml） and postoperative complications（21% vs 38%），with statistical significant differences（P < 0.05）. Other observations showed no statistically significance. Conclusion The biotype artificial joint replacement is applicable to the younger patients with thick bone cortex and long life expectancy， while the bone cement artificial joint replacement is appropriate for weak senile patients with thin bone cortex. |
| Key words: ［Key words］Artificial hip replacement Femoral neck fracture Osteoporosis The elderly |