摘要：目的 探讨混合型髋关节置换治疗老年股骨颈骨折的可行性.方法 2002年7月至2007年8月间,采用混合型人工全髋关节置换治疗股骨颈骨折患者96例,其中陈旧性骨折44例,新鲜骨折52例.结果 术后平均随访19个月,平均Harris评分由术前的36.8分增加到术后90.8分.新鲜与陈旧性骨折结果比较差异无统计学意义(P>0.05).结论 混合型人工髋置换术治疗老年股骨颈骨折能达到即时稳定,短期随访结果好. Abstract： Objective To assess the feasibility of primary hybrid total hip replacement in treating femoral neck fracture of elderly patients. Methods Between July 2002 and August 2007, ninety-six consecutive hybrid total hip arthroplasties were performed. Forty-four cases were old fracture and 52 cases were fresh fracture. Results All patients were followed up for 19 months average, the mean preoperative Harris hip score was 36.8 and Harris hip score for the last time or follow-up was 90.8.There was no statistically significant difference between fresh fracture and old fracture(P>0.05).Conclusions Hybrid total hip replacement in treating femoral neck fracture of elderly patients can achieve the immediate postoperative stability and has good short-term outcome.

关键词：混合型 人工全髋关节 置换治疗 老年股骨颈骨折 elderly 

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