Efficacy of different approaches of hip arthroplasty in treatment of senile femoral neck fracture complicated with Parkinson’s disease

HE Guo; WANG Hong; BI Yan; LIU Chao; LI Ji

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Efficacy of different approaches of hip arthroplasty in treatment of senile femoral neck fracture complicated with Parkinson’s disease

更新时间：2022-06-24

- Efficacy of different approaches of hip arthroplasty in treatment of senile femoral neck fracture complicated with Parkinson’s disease
- null Issue 7, Pages: 638(2021)
- 作者机构：
  
  盘锦市中心医院骨科,辽宁,盘锦,124010
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HE Guo, WANG Hong, BI Yan, et al. Efficacy of different approaches of hip arthroplasty in treatment of senile femoral neck fracture complicated with Parkinson’s disease. [J]. null (7):638(2021)
DOI：

HE Guo, WANG Hong, BI Yan, et al. Efficacy of different approaches of hip arthroplasty in treatment of senile femoral neck fracture complicated with Parkinson’s disease. [J]. null (7):638(2021) DOI：

摘要

目的探讨直接前方入路与后外侧入路髋关节置换术治疗老年股骨颈骨折合并帕金森的疗效。方法回顾性分析132例老年股骨颈骨折合并帕金森患者的临床资料，根据手术入路不同将患者后外侧入路组（64例）和直接前方入路组（68例）。术后随访12个月，比较2组患者手术时间、切口长度、术中出血量、术后开始负重时间、骨折愈合时间、Harris评分、髋部骨折功能恢复量表（FRS）评分、视觉模拟量表（VAS）评分及并发症。术后1 d，比较2组患者髋臼外展角、髋臼前倾角和股骨假体位置。结果直接前方入路组手术时间长于后外侧入路组（P＜0.05），切口长度、术中出血量、术后开始负重时间短/少于后外侧入路组（P＜0.05）。2组术后Harris评分、FRS评分均逐渐增高（P＜0.05），VAS评分降低（P＜0.05）；直接前方入路组术后1个月、6个月、12个月Harris评分、FRS评分均高于后外侧入路组（P＜0.05），VAS评分低于后外侧入路组（P＜0.05）。2组术后髋臼外展角、髋臼前倾角、股骨假体居中率比较差异均无统计学意义（P＞0.05），直接前方入路组术后并发症发生率低于后外侧入路组（P＜0.05）。结论相比于后外侧入路，直接前方入路创伤小，患者疼痛少，术后恢复快，并发症发生率低，是老年股骨颈骨折合并帕金森病患者髋关节置换术较为理想的入路方式。

Abstract

关键词

髋关节置换术股骨颈骨折帕金森直接前方入路后外侧入路

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