后外侧微创入路全髋置换术治疗老年股骨颈骨折患者的临床观察

Clinical observation of total hip arthroplasty through posterolateral minimally invasive approach in elderly patients with femo-ral neck fractures

中文关键词: 老年, 股骨颈骨折, 髋关节置换术, 后外侧微创入路, 疼痛, 髋部功能, 步行能力

英文关键词: elderly  femoral neck fracture  total hip arthroplasty  posterolateral minimally invasive approach  pain  hip function  walking ability

中文摘要:

      目的 观察后外侧微创入路全髋关节置换术对老年股骨颈骨折患者疼痛应激、髋部功能和步态的影响.方法 回顾性纳入2020年1月-2024年1月郴州一九八医院治疗的78例老年股骨颈骨折患者,按照手术入路方式的不同分为观察组(n=40)和对照组(n=38).2组均行后外侧全髋关节置换术,对照组以后外侧常规入路,观察组以后外侧微创入路.比较2组临床指标值、疼痛程度、髋部功能、步行能力.结果 观察组术中出血量少于对照组,切口长度与住院时间短于对照组,差异均有统计学意义(P＜0.05);治疗后1个月、3个月,观察组VAS评分低于对照组,Harris评分与FRS评分高于对照组,差异均有统计学意义(P＜0.05);治疗后1个月、3个月,观察组Berg评分、姿态稳定度高于对照组,差异均有统计学意义(P＜0.05).结论 后外侧微创入路全髋关节置换术治疗老年股骨颈骨折患者,疗效较好,降低其疼痛程度,髋部功能恢复及步行稳定度更好.

英文摘要:

      Objective To explore the effects of total hip arthroplasty through posterolateral minimally invasive approach on pain stress,hip function and gait in elderly patients with femoral neck fracture.Methods 78 elderly patients with femoral neck fracture treated in Chenzhou Hospital 198 from January 2020 to January 2024 were retrospectively analyzed.According to different surgical approaches,they were divided into control group(n=38)and observation group(n=40).Both groups un-derwent total hip arthroplasty through posterolateral approach.The control group adopted conventional posterolateral approach,and the observation group did posterolateral minimally invasive approach.The clinical indexes,pain degree,hip function and walking ability were compared between the two groups.Results The intraoperative blood loss in the observation group was less than that in the control group,and the incision length and length of hospital stay were shorter than those in the observation group(P＜0.05).At 1 month and 3 months after treatment,the scores of VAS in the observation group were lower than those in the control group,the scores of Harris and FRS in the observation group were higher than those in the control group(P＜0.05).At 1 month and 3 months after treatment,Berg scores and posture stability in the observation group were higher than those in the control group(P＜0.05).Conclusion The posterior lateral minimally invasive approach for total hip arthroplasty has good efficacy in the treatment of elderly patients with femoral neck fracture.It can reduce the pain level of patients,and improve hip function recovery and walking stability.