老年股骨颈骨折的骨水泥型与非骨水泥型半髋关节置换术
Cemented versus cementless hemiarthroplasty for femoral neck fractures in the elderly.
作者信息
Ng Zhaowen Dennis, Krishna Lingaraj
机构信息
Department of Orthopaedic Surgery, National University of Singapore, National University Hospital, Singapore.
出版信息
J Orthop Surg (Hong Kong). 2014 Aug;22(2):186-9. doi: 10.1177/230949901402200214.
PURPOSE
To compare cemented versus cementless bipolar hemiarthroplasty in terms of operating time, blood loss, pain, functional outcome, morbidity, and mortality.
METHODS
Medical records of 207 patients aged ≥ 60 years who underwent bipolar hemiarthroplasty for displaced femoral neck fracture using a cemented (n=96) or cementless (n=111) prosthesis were reviewed. Postoperative thigh pain, ambulatory status, and complications were assessed.
RESULTS
The cemented group had significantly longer operating time (p=0.017) and greater intraoperative blood loss (p=0.024). Postoperative thigh pain was significantly higher in the cementless group (p=0.023).
CONCLUSION
Cementless hemiarthroplasty is preferred over cemented hemiarthroplasty because of reduced operating time and intra-operative blood loss. It was associated with increased postoperative thigh pain, but functional outcomes, complications, and mortality were similar between the 2 groups.
目的
比较骨水泥型与非骨水泥型双极半髋关节置换术在手术时间、失血量、疼痛、功能结局、发病率和死亡率方面的差异。
方法
回顾了207例年龄≥60岁、因移位型股骨颈骨折接受骨水泥型（n = 96）或非骨水泥型（n = 111）假体双极半髋关节置换术患者的病历。评估术后大腿疼痛、行走状态和并发症。
结果
骨水泥型组手术时间明显更长（p = 0.017），术中失血量更大（p = 0.024）。非骨水泥型组术后大腿疼痛明显更高（p = 0.023）。
结论
由于手术时间缩短和术中失血量减少，非骨水泥型半髋关节置换术优于骨水泥型半髋关节置换术。它与术后大腿疼痛增加有关，但两组之间的功能结局、并发症和死亡率相似。
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