探讨加长生物柄全髋关节置换术联合钢丝捆扎治疗老年股骨头坏死合并同侧股骨转子间骨折的临床疗效。

回顾性分析2015年12月至2019年2月间大理大学第一附属医院关节外科收治的12例采用加长生物柄全髋关节置换术联合钢丝捆扎治疗的老年股骨头坏死合并同侧股骨转子间骨折资料，进行术后随访并采用Harris髋关节功能评分标准评估治疗效果。

12例患者均顺利接受手术，术后无脱位、无感染及无下肢深静脉血栓形成等并发症。随访12个月至36个月，平均(25±7)个月，按Harris疗效标准评定，优8例，良3例，可1例，优良率91.7%。

加长生物柄全髋关节置换术联合钢丝捆扎治疗老年股骨头坏死合并同侧股骨转子间骨折的疗效确切，可以避免第二次手术，降低住院费用，为老年患者早期下床功能锻炼创造了基础条件。

To explore the clinical effect of lengthened biological handle total hip arthroplasty combined with steel wire strapping in the treatment of elderly femoral head necrosis with ipsilateral femoral intertrochanteric fracture.

A retrospective study collected the data of 12 elderly patients who diagnosed as femoral head necrosis with ipsilateral femoral intertrochanteric fracture and were treated with lengthened biological handle total hip arthroplasty in the First Affiliated Hospital of Dali University from December 2015 to February 2019. Harris scoring criteria had been used to evaluate the function of joint in the follow-up visit.

These 12 patients all had successful operations. There was no dislocation, infection or complications such as deep venous thrombosis of lower extremity after the surgery. Follow-up visits lasted for 12 months to 36 months and (25±7) months on average. According to Harris scoring criteria, eight cases were excellent, three cases were good, and one case was fair. The ratio of excellent and good cases was 91.7%.

Lengthened biological handle total hip arthroplasty combined with steel wire strapping is effective in the treatment of elderly femoral head necrosis with ipsilateral intertrochanteric fracture, which can avoid second surgery and reduce the hospitalization cost, create basic conditions for early rehabilitation of elderly patients.