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中华关节外科杂志(电子版)

中华关节外科杂志(电子版) ›› 2024, Vol. 18 ›› Issue (02) : 277 -279. doi: 10.3877/cma.j.issn.1674-134X.2024.02.017

临床经验

比较不同类型假体用于骨质疏松症的老年股骨颈骨折
卢国良1, 潘耀成1,†()   
  1. 1. 528000　佛山市中医院创伤骨科
  • 收稿日期:2023-04-28 出版日期:2024-04-01
  • 通信作者: 潘耀成

Comparison of different prostheses types in femoral neck fractures of elderly patients with osteoporosis

Guoliang Lu1, Yaocheng Pan1,†()   

  1. 1. Orthopedics Department of Trauma, Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, China
  • Received:2023-04-28 Published:2024-04-01
  • Corresponding author: Yaocheng Pan
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引用本文：

卢国良, 潘耀成. 比较不同类型假体用于骨质疏松症的老年股骨颈骨折[J]. 中华关节外科杂志(电子版), 2024, 18(02): 277-279.

Guoliang Lu, Yaocheng Pan. Comparison of different prostheses types in femoral neck fractures of elderly patients with osteoporosis[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2024, 18(02): 277-279.

目的

对比骨质疏松症(OP)老年股骨颈骨折患者使用不同类型假体的效果。

方法

回顾性分析佛山市中医院收治的91例患者的临床资料，采用非骨水泥型股骨假体42例(非骨水泥组)、骨水泥型股骨假体者有49例(骨水泥组)。对比两组手术相关指标、患侧髋关节功能、并发症。计量资料采用t检验，计数资料采用卡方检验。

结果

骨水泥组术后下地时间和术后完全负重时间均短于非骨水泥组(t＝9.484、3.646，均为P<0.05)；骨水泥组术后髋关节功能评分均高于非骨水泥组(t＝7.626、6.891，均为P<0.05)；骨水泥组并发症发生率低于非骨水泥组(校正χ2＝4.623，P<0.05)。

结论

对老年伴OP的股骨颈骨折患者采用骨水泥型股骨假体进行髋关节置换较非骨水泥型股骨假体更具优势。

关键词: 骨质疏松, 股骨颈骨折, 关节成形术，置换，髋
Objective

To compare the application effect of cementless femoral prosthesis and cemented femoral prosthesis in hip replacement for femoral neck fracture of elderly patients with osteoporosis (OP).

Methods

The clinical data of 91 elderly patients with femoral neck fracture with OP from Foshan Hospital of Traditional Chinese Medicine were retrospectively analyzed. They were all treated with hip replacement, and 42 cases were treated with non cemented femoral prosthesis (the non-cemented group) and 49 cases were treated with cemented femoral prosthesis (the cemented group). The operation related indexes, hip function of affected side and complications were compared between the two groups. Measurement data were analyzed using t tests, while count data were analyzed using chi square tests.

Results

The ambulance time and full weight-bearing in the cemented group was shorter than the non-cemented group (t=9.484, 3.646, both P <0.05). The hip function scores of the cemented group after operation were higher than those in the non-cemented group (t=7.626, 6.891, both P<0.05). The incidence of complications in the cemented group was lower than that in the non-cemented group (corrected χ2=4.623, P<0.05).

Conclusion

The use of bone cement femoral prosthesis for hip replacement is more advantageous than non bone cement femoral prosthesis for elderly patients with femoral neck fracture accompanied by OP.

Key words: Osteoporosis, Femoral neck fracture, Arthroplasty, replacement, hip
表1 两组手术相关指标对比(±s)
Table 1 Comparison of surgical related indicators between two groups
组别Groups 例数Case number 手术持续时间(min)Duration of surgery 术中出血量(ml)Intra-operation blood loss 术后下地时间(d)Ambulance time 术后完全负重时间(d)Full weight-bearing time after operation
非骨水泥组Non-cemented group 42 60.1±9.9 222.6±35.4 3.2±1.0 29.3±4.6
骨水泥组Cemented group 49 63.2±10.0 231.8±41.1 1.6±0.6 26.8±1.2
t值   1.458 1.126 9.484 3.646
P值   >0.05 >0.05 <0.05 <0.001
表2 两组患侧髋关节功能对比(±s)
Table 2 Function comparison of on the affected hip joint between two groups
组别Groups 例数Case number 术前Before operation 术后3个月Three months after operation 术后6个月Six months after operation F值 P值
非骨水泥组Non-cemented group 42 31±5 68±8a 81±9ab 534.366 <0.001
骨水泥组Cemented group 49 31±5 75±8 a 87±9 ab 730.108 <0.001
t值   0.300 7.626 6.891    
P值   >0.05 <0.001 <0.001    
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