股骨颈骨折直接行髋关节置换术与内固定失败后再行髋关
节置换术的比较
王剑火;张玉九;李玉茂;李平生
【期刊名称】《生物骨科材料与临床研究》 【年(卷),期】2011(008)002
【摘要】Objective To explore the difference of the outcomes of primary hip replacement and secondary replacement after failed internal fixation in the treatment of femoral neck fractures for optimal choice of operation method for femoral neck fractures. Methods 43 patients with a secondary hip replacement after failed internal fixation (Group A) and 52 patients with a primary hip replacement (Group B) in the treatment of femoral neck fractures were retrospectively analyzed.All patients were followed up at least 2 years. Details of operation, complications, hip function and quality of life at 2 years after operation were compared between two groups. The hip function, including the pain movement and walking, was evaluated by the Charnley scoring system. The health-related quality of patients' life was evaluated by using the EQ-5D index. Results Operation time, amount of hemorrhage during operation, the Chamley score of hip function and EQ-5D index score of quality of life were 1.9±0.2 and 1.4±0.2h 、 525.6±50.8 and 462.3±47.8ml 、 13.4±2.3 and15.2±2.4 、 0.67±0.26 and 0.72±0.25 for Group A and Group B,respectively. The difference was
股骨颈骨折直接行髋关节置换术与内固定失败后再行髋关节置换术的比较
