Miettinen H, Kettunen J
Department of Surgery, Kuopio University Hospital, Finland.
Ann Chir Gynaecol. 1999;88(1):44-7.
Endoprosthetic treatment of intracapsular, subcapital displaced femoral neck fracture in the elderly patients is widely accepted. According to increase in total number of femoral neck fractures in the last decades, there will be about 5 500 femoral neck fractures in Finland suitable for endoprosthetic treatment in the year 2020. Uncemented or cemented unipolar, bipolar or total hip replacements have been alternatives to internal fixation. For active elderly patients with a much younger physiologic than actual age and living a fully independent life, cemented bipolar or total hip arthroplasty should be preferred to unipolar arthroplasty in the year 2 000.
人工关节置换术治疗老年患者囊内、股骨头下移位型股骨颈骨折已被广泛接受。根据过去几十年股骨颈骨折总数的增加情况，预计2020年芬兰约有5500例股骨颈骨折适合进行人工关节置换术治疗。非骨水泥型或骨水泥型单极、双极或全髋关节置换术一直是内固定的替代选择。对于生理年龄比实际年龄年轻得多且生活完全独立的活跃老年患者，在2000年，骨水泥型双极或全髋关节置换术应优于单极关节置换术。
