【摘 要】
：
目的 比较骨水泥假体和生物型假体用于不稳定性股骨转子间骨折人工股骨头置换术的临床价值,为临床提供参考.方法 选取2019年3月至2020年9月巨野县中医医院50例接受人工股骨头置换术治疗的不稳定性股骨转子间骨折患者作为研究对象进行回顾性分析,按照所使用假体类型的不同分为骨水泥组和生物组,各25例.统计比较两组患者手术相关指标和术后不同时间点髋关节功能(Harris)评分.记录两组患者术后12个月功能独立性评定量表(FIM)评分和髋关节功能优良率.统计两组患者术后6个月并发症发生情况.结果 骨水泥组患者手术
【机 构】
：
巨野县中医医院骨伤科,山东菏泽 274900
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目的 比较骨水泥假体和生物型假体用于不稳定性股骨转子间骨折人工股骨头置换术的临床价值,为临床提供参考.方法 选取2019年3月至2020年9月巨野县中医医院50例接受人工股骨头置换术治疗的不稳定性股骨转子间骨折患者作为研究对象进行回顾性分析,按照所使用假体类型的不同分为骨水泥组和生物组,各25例.统计比较两组患者手术相关指标和术后不同时间点髋关节功能(Harris)评分.记录两组患者术后12个月功能独立性评定量表(FIM)评分和髋关节功能优良率.统计两组患者术后6个月并发症发生情况.结果 骨水泥组患者手术时间长于生物组,术后卧床时间、使用助步器时间、术后开始负重时间显著短于生物组(P<0.05).骨水泥组患者术后1、3个月术前Harris评分显著高于生物组(P0.05),两组患者术后3、6、12个月Harris评分显著优于术后1个月(P0.05).骨水泥组患者术后6个月并发症发生率高于生物组(P<0.05).结论 骨水泥型和生物型假体用于人工股骨头置换术治疗不稳定性股骨转子间骨折患者均可取得较好的疗效,其中骨水泥型髋关节功能术后恢复较快,生物型并发症发生率低,临床可根据患者情况进行选择.
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