老年股骨颈骨折双侧同期非骨水泥型与骨水泥型人工全髋关节置换术临床疗效比较

doi:10.3969/j.issn.1671-7171.2018.01.016

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Abstract 【Objective】To compare the clinical efficacy of simultaneous non-cemented and cemented prostheses on bilateral total hip arthroplasty in elderly patients with femoral neck fractures.【Methods】The clinical data of 147 patients with femoral neck fracture admitted to our hospital from March 2014 to June 2015 were analyzed retrospectively. According to the type of the material for the total hip arthroplasty, patients were divided into the non-cemented prosthesis group (NCP group) and cemented prosthesis group (CP group). The perioperative indexes, Harris score and excellent rate, postoperative pain and perioperative complications were compared between the two groups. The clinical efficacy of the two groups were evaluated.【Results】The operation time and intraoperative blood loss of patients in the NCP group were (89.6±5.8) min and (83.5±14.6) mL, respectively, which were significantly higher than those in the CP group, which were (119.7±8.2) and (112.8±21.3) mL (P<0.05), respectively. There was no significant difference in hospitalization time (d) between the two groups [ (9.6±1.7) vs (9.8±1.6) d] (P>0.05). The Harris score and excellent and good rate in the NCP group were at 3 and 6 months after operation were (72.3±5.9), (65.8±5.1) points and 72.2%, 56.9%, respectively, which were significantly higher than those in the CP group (61.5±4.4), (53.6±3.2) points and 52.0%, 37.3% (P<0.05), respectively, but the index was lower than that of CP group one month after operation. The incidence of postoperative pain (total pain rate was 33.3%) in the NCP group was lighter than that in the CP group (50.6%) (P<0.05). The incidence of perioperative complications (bed sores, urinary tract infection, incisional infection and adverse cardiovascular events) were also lower in the NCP group than the CP group (7.0% vs 20.0%, P<0.05).【Conclusion】Bilateral simultaneous non-cemented total hip arthroplasty in the treatment of femoral neck fracture in elderly patients has better clinical effect, which can effectively reduce the patient pain level and reduce complications during perioperative adverse cardiovascular events. The main shortcoming lies in that immediate fixation (short-term) ineffective. Therefore, clinicians should choose the appropriate implant for implantation according to the different types of prosthesis in order to improve the effect of hip joint fixation.

Key words： Femoral Neck Fractures/SU Arthroplasty, Replacement, Hip Bone Cements Hip Prosthesis

Received: 20 November 2017

PACS:

R683.421

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	SI Yu-lou
	LIU E
	YANG Tao

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SI Yu-lou,LIU E,YANG Tao. Efficacy Comparison between Non-cemented and Cemented Prosthesis on Bilateral Total Hip Arthroplasty in Elderly Patients with Femoral Neck Fracture[J]. JOURNAL OF CLINICAL RESEARCH, 2018, 35(1): 52-55.

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http://www.jcr.net.cn/EN/10.3969/j.issn.1671-7171.2018.01.016 OR http://www.jcr.net.cn/EN/Y2018/V35/I1/52

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