Langlais F, Aubriot J H, Yon L, Postel M
Rev Chir Orthop Reparatrice Appar Mot. 1977 Dec;63(8):797-814.
In this study the authors compared the mortality of fractures of the neck of the femur treated by femoral prostheses with early walking compared with trochanteric fractures treated by a nail plate and non-weight bearing activity for 2 to 3 months. The mortality in the two series (about 20 per cent) was the same. The authors then compared two series of fractures of the femoral neck, one treated by Moore's prosthesis without cement and the other by an alternative type of femoral prosthesis with cement. They conclude that the mortality was the same in the two groups but that the cemented prosthesis had better functionnal results. Long-term tolerance of the acetabulum was the same in the two types of prosthesis. Total hip replacement is very rarely indicated in recent fractures of the femoral neck.
在本研究中,作者比较了采用股骨假体并早期行走治疗的股骨颈骨折与采用钉板治疗且2至3个月不负重活动的转子间骨折的死亡率。两个系列的死亡率(约20%)相同。作者随后比较了两个系列的股骨颈骨折,一个采用无骨水泥的摩尔假体治疗,另一个采用有骨水泥的另一种类型股骨假体治疗。他们得出结论,两组的死亡率相同,但有骨水泥的假体功能结果更好。两种类型假体对髋臼的长期耐受性相同。全髋关节置换术在近期股骨颈骨折中很少使用。