[1]孙甫△,高金金,杨玉林,等.经皮辅助通道微创髋关节置换术治疗老年股骨颈骨折[J].中国中医骨伤科杂志,2025,33(04):78-80.[doi:10.20085/j.cnki.issn1005-0205.250415 ]
　SUN Fu,GAO Jinjin,YANG Yulin,et al.Application of Minimally Invasive Hip Arthroplasty in the Treatment of Elderly Patients with Femoral Neck Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(04):78-80.[doi:10.20085/j.cnki.issn1005-0205.250415 ]
点击复制

经皮辅助通道微创髋关节置换术治疗老年股骨颈骨折()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年04期
页码:
78-80
栏目:
临床报道
出版日期:
2025-04-10

文章信息/Info

Title:
Application of Minimally Invasive Hip Arthroplasty in the Treatment of Elderly Patients with Femoral Neck Fractures
文章编号:
1005-0205(2025)04-0078-03
作者:
孙甫1△; 高金金2; 杨玉林2; 刘理想2; 王磊1
1西安医学院第一附属医院(西安,710077); 2西安医学院
Author(s):
SUN Fu1△; GAO Jinjin2; YANG Yulin2; LIU Lixiang2; WANG Lei1
1The First Affiliated Hospital of Xi'an Medical University,Xi'an 710077,China; 2Xi'an Medical University,Xi'an 710077,China.
关键词:
经皮辅助通道微创髋关节置换术;  股骨颈骨折;  高龄患者
Keywords:
minimally invasive hip arthroplasty;  femoral neck fracture;  elderly patients
分类号:
R683.42
DOI:
10.20085/j.cnki.issn1005-0205.250415
文献标志码:
B
摘要:
目的:探讨经皮辅助通道微创髋关节置换术在老年股骨颈骨折治疗中的临床应用效果。方法:回顾性分析2023年9月1日至2024年6月30日收治的老年股骨颈骨折患者,选取应用经皮辅助通道微创髋关节置换术治疗股骨颈骨折的患者40例。分析患者手术切口长度、出血量,术后1周、1个月、3个月Harris评分及相关并发症等。结果:所有患者均获得3～6个月随访。经皮辅助通道微创髋关节置换术治疗的患者,在手术切口长度、髋关节Harris评分、术中出血量等方面均有明显优势。结论:与常规髋关节置换手术相比,经皮辅助通道微创髋关节置换术具有创伤小、恢复快、并发症少等优点,为股骨颈骨折的治疗提供了一种新的有效方法。
Abstract:
Objective:To investigate the clinical application efficacy of Superpath minimally invasive hip arthroplasty in the treatment of femoral neck fractures.Methods:A retrospective analysis was conducted on patients with femoral neck fractures from September 1,2023,to June 30,2024.A total of 40 patients who underwent Superpath minimally invasive hip arthroplasty for femoral neck fractures were selected.The length of surgical incision,blood loss,Harris hip scores at 1 week,1 month,and 3 months postoperatively,and related complications were analyzed.Results:All patients were followed up for 36 months.Patients treated with Superpath minimally invasive hip arthroplasty demonstrated significant advantages in terms of surgical incision length,Harris hip scores,and intraoperative blood loss.Conclusion:Compared with conventional hip arthroplasty,Superpath minimally invasive hip arthroplasty offers advantages such as minimal trauma,rapid recovery,and reduced complications,providing a new and effective method for the treatment of femoral neck fractures.

参考文献/References:

[1] 彭程越.老年股骨颈骨折人工股骨头置换与全髋关节置换术近期疗效和髋关节功能对比研究[J].河南外科学杂志,2024,30(1):146-148.
[2] 李沛兴,方炯炯,黄伟韬,等.SuperPATH入路与后外侧入路人工股骨头置换术治疗老年股骨颈骨折的比较[J].中国骨与关节损伤杂志,2023,38(12):1233-1237.
[3] 王祚才,陈建平,王平.半髋和全髋关节置换术治疗老年股骨颈骨折的疗效及安全性[J].中华老年多器官疾病杂志,2024,23(3):176-180.
[4] 刘宇,顾三军,徐耀增,等.SuperPATH入路微创髋关节置换治疗老年性股骨颈骨折术中并发症的原因分析及策略[J].中国临床解剖学杂志,2023,41(4):465-469.
[5] 高鹏,王亮,王宏宇,等.衰弱量表评分及衰弱指数与老年患者髋关节置换术后康复效果的相关性分析[J].中国康复医学杂志,2024,39(4):529-534.
[6] 谢翰,殷炜聪.SuperPATH微创入路全髋关节置换术对髋关节功能及生活质量的影响[J].中国医学创新,2022,19(24):54-58.
[7] 彭程越.老年股骨颈骨折人工股骨头置换与全髋关节置换术近期疗效和髋关节功能对比研究[J].河南外科学杂志,2024,30(1):146-148.
[8] 董飞,李爱国,毛伟,等.SuperPath入路全髋关节置换术并发症的荟萃分析[J].中国矫形外科杂志,2022,30(11):989-992.
[9] 甘锋平,江建中.微创全髋关节置换术手术入路的现状[J].中国微创外科杂志,2022,22(1):79-84.
[10] AHO G L,汪雷,章洪喜,等.微创全髋关节置换术SuperPATH与直接前方入路的疗效比较[J].江苏大学学报(医学版),2021,31(6):532-535.
[11] 张向征,蔡荣芳,樊晓臣,等.CH-DSA入路与SuperPATH入路全髋关节置换术的早期疗效比较[J].吉林医学,2022,43(6):1618-1622.

备注/Memo

备注/Memo:
基金项目:国家自然科学基金青年基金项目(30973063) △通信作者 E-mail:sunfu20019@163.com
更新日期/Last Update: 2025-04-10