Department of Public Health Sciences, University of California, Davis, Sacramento, California 95817, USA.
J Arthroplasty. 2013 Sep;28(8):1386-90. doi: 10.1016/j.arth.2012.09.007. Epub 2013 Mar 25.
The objective of this study was to evaluate the most common treatments performed for hip fractures over the last decade in the United States. The leading treatment for trochanteric fractures was internal fixation, accounting for 96%-98% of surgical treatments each year. For cervical fractures, hemiarthroplasty (HA), total hip arthroplasty (THA), and internal fixation were performed nearly 61%, 5%, and 33% of the time, respectively, each year without any sign of change during the period assessed. The surgical choice for cervical fractures varied greatly by patient age. In 2009, two-thirds of patients younger than 60 years underwent internal fixation while two-thirds of patients 60 years or older underwent HA. Regardless of patient age, HA was performed more often than THA for cervical hip fractures.
本研究旨在评估过去十年中美国髋关节骨折最常见的治疗方法。对于转子间骨折，内固定是主要的治疗方法，每年的手术治疗比例占 96%-98%。对于股骨颈骨折，每年半髋关节置换术（HA）、全髋关节置换术（THA）和内固定的治疗比例分别为近 61%、5%和 33%，在评估期间没有任何变化的迹象。股骨颈骨折的手术选择因患者年龄而异。2009 年，60 岁以下患者中有三分之二接受了内固定治疗，而 60 岁及以上患者中有三分之二接受了 HA 治疗。无论患者年龄大小，HA 在治疗股骨颈骨折方面比 THA 更为常见。
