The effect of artificial hip arthroplasty in the treatment of aged intertrochanteric fractures
人工髋关节置换术治疗老年陈旧性股骨粗隆间骨折的作用

摘要

目的 分析研究老年陈旧性股骨粗隆间骨折患者采取人工髋关节置换术治疗的效果。方法 采取随机数字表法将我院在2018年2月-2021年2月期间收治的56例老年陈旧性股骨粗隆间骨折患者进行分组。其中一组为参考组（n=28），本组接受股骨近端防旋髓内钉固定治疗；另外一组为实验组（n=28），本组接受人工髋关节置换术治疗。分析比较两组经不同治疗方法后的效果。结果 通过不同方法治疗后，两组患者均取得一定的治疗效果，其中实验组的手术相关指标、髋关节功能恢复效果、并发症发生率均要比参考组优，两组对比差异满足统计学含义（P＜0.05）。结论 老年陈旧性股骨粗隆间骨折患者使用人工髋关节置换术的效果确切，能够有效改善患者髋关节功能，减少并发症产生。此种治疗方法值得在临床上进行推广。

Abstract

Objective: To analyze and study the effect of artificial hip replacement in elderly patients with old intertrochanteric fractures.
Methods: The random number table method was used to group 56 elderly patients with old intertrochanteric fractures admitted to our hospital from February 2018 to February 2021. One group was the reference group (n=28), which received proximal femoral anti-rotation intramedullary nail fixation; the other group was the experimental group (n=28), which received artificial hip arthroplasty. The effects of different treatment methods in the two groups were analyzed and compared.
Results: After treatment by different methods, both groups of patients achieved certain therapeutic effects. The operation-related indicators, hip joint function recovery effect, and complication rate of the experimental group were better than those of the reference group, and the differences between the two groups were statistically significant. Meaning (P < 0.05).
Conclusion  : The effect of artificial hip replacement in elderly patients with old femoral intertrochanteric fracture is definite, which can effectively improve the hip joint function and reduce the occurrence of complications. This treatment method is worthy of clinical promotion.