用骨水泥双极半关节成形术治疗成人股骨颈骨折的前瞻性研究

S. Y, S. C, R. D
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摘要

目的:股骨颈移位骨折常采用双极半关节置换术治疗。有关双极半关节置换术的长期数据很少。本研究旨在了解双极半关节置换术对老年股骨颈骨折的临床疗效。术后对患者的疼痛、跛行和功能活动进行评估,并使用 Harris 髋关节评分来评价结果:这是一项前瞻性研究,研究对象包括接受双极半人工关节置换术的患者。本研究共评估了40名接受双极假体治疗的患者。研究对象包括男性和女性。研究期间,我们征得了一家三级医院所有患者的同意:在这项研究中,20 名 50 岁以上股骨颈骨折伴有移位、沟通和股骨颈吸收的患者接受了使用双极假体的半关节成形术。术后,双极半关节成形术允许早期活动,疼痛减轻,活动度高,风险小:结论:与奥斯汀-摩尔假体相比,双极半关节成形术的并发症较少,如髋臼侵蚀和大腿前部疼痛。综上所述,我们认为双极半关节置换术是治疗股骨颈囊内骨折的最佳方法。
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A PROSPECTIVE STUDY OF SURGICAL MANAGEMENT OF FRACTURE NECK OF FEMUR IN ADULTS WITH CEMENTED BIPOLAR HEMIARTHROPLASTY
Objectives: Displaced femoral neck fractures are frequently treated with bipolar hemiarthroplasties. There is little long-term data regarding bipolar hemiarthroplasty. This study aims to know the clinical efficacy of bipolar hemiarthroplasty in fractured neck femur in old age people. Patients are assessed postoperatively for pain, limp, and functional activities, and a Harris hip score is used to evaluate the results. Methods: This is a prospective study that included patients who underwent bipolar hemi replacement arthroplasty. A total 40 number of patients treated with bipolar prosthesis were assessed during our study. Both males and females were included in the study. We obtained all proper consent from patients during the study from a tertiary care hospital. Results: In this study, a sample of 20 patients with fractures of the neck of the femur with displacement, communication, and neck resorption above 50 years old were surgically treated with hemiarthroplasty using a bipolar endoprosthesis. Postoperatively, bipolar hemiarthroplasty allows for early mobilization, pain alleviation, and a high degree of activity while posing little risks. Conclusion: When compared to Austin Moore’s prosthesis, bipolar hemiarthroplasty had fewer complications, such as acetabular erosion and anterior thigh pain. As a result of these findings, we believe that bipolar hemiarthroplasty is the best treatment for intracapsular fracture neck femur.
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