• 股骨颈骨折内固定失败后行全髋关节置换术治疗的效果分析
  • Curative Effect of Total Hip Arthroplasty after Unsuccessful Internal Fixation of Femoral Neck Fracture
  • 杜 滨.股骨颈骨折内固定失败后行全髋关节置换术治疗的效果分析[J].中国烧伤创疡杂志,2020,(4):276~278.
    DOI:
    中文关键词:  股骨颈骨折  内固定  全髋关节置换术  髋关节功能  生活质量  影响
    英文关键词:Femoral neck fracture  Internal fixation  Total hip arthroplasty  Hip function  Quality of life  Curative effect
    基金项目:
    作者单位
    杜 滨 南阳市骨科医院关节科 
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    中文摘要:
          目的 分析探讨股骨颈骨折内固定失败后行全髋关节置换术 ( total hip arthroplasty, THA) 治疗的 临床疗效? 方法 回顾性分析 2018 年 1 月至 2019 年 1 月南阳市骨科医院关节科收治的股骨颈骨折内固定失败后行THA治疗的36例患者的病历资料, 对比THA治疗前后髋关节Harris评分及简明健康状况调查量表 ( SF-36) 评分变化情况, 评估患者髋关节功能及生活质量? 结果 治疗后6个月患者髋关节 Harris评分为 (66.21±6.42) 分, 治疗后 12 个月为 (88.45±7.19) 分, 均明显高于治疗前的 (43.11±7.25) 分 (t=14.310? 26.640, P 均=0.000); 治疗后 12 个月, 患者简明健康状况调查量表 (SF-36) 中的躯体功能? 躯体疼痛? 生理职能? 社会 功能? 精神健康? 情感职能? 精力? 一般健康状况评分均明显高于治疗前 (t=12.790? 22.190? 7.367? 12.760? 12.630? 6.332? 12.160? 12.160, P 均=0.000)? 结论 股骨颈骨折内固定失败后予以THA治疗, 能够有效提高患者的髋关节功能及生活质量, 临床应用价值较高?
    英文摘要:
          Objective To analyze the clinical effect of total hip arthroplasty (THA) after unsuccessful internal fixation of femoral neck fracture. Methods The medical records of 36 patients undergoing THA after unsuccessful internal fixation of femoral neck fracture, admitted to the Department of Arthrology, Nanyang Orthopedics Hospital from January 2018 to January 2019, was analyzed retrospectively. The Harris hip score and SF-36 score before and after THA were com- pared to assess the patients’ hip function and quality of life. Results The Harris hip score was (66.21±6.42) points af- ter 6 months of treatment and (88.45±7.19) points after 12 months of treatment, which were significantly higher than (43.11±7.25) points before treatment ( t=14.310 and 26.640 respectively, both P=0.000); 12 months after treat ment, the scores of physical functioning, bodily pain, rolephysical, social functioning, mental health, role-emotional, vitality, general health in SF-36 scale were significantly higher than the corresponding scores before treatment (t=12.790, 22.190, 7.367, 12.760, 12.630, 6.332, 12.160 and 12.160 respectively, all P=0.000). Conclusion The application of THA after unsuccessful internal fixation in femoral neck fracture can improve hip function and quality of life of patients, presenting high value of clinical application.