Kuokkanen H, Lehtonen J, Korkala O
Lahti City Hospital, Finland.
Ann Chir Gynaecol. 1988;77(4):160-3.
162 femoral neck fractures were treated with Moore endoprostheses. Primary mortality was eight per cent, and after an average of seven years postoperatively 25 per cent of the patients were alive. Complications were recorded in 22 cases. Nine of the patients underwent a further operation. Thirty-one patients participated in a clinical follow-up study and eight patients answered a subjective questionnaire. Two hips showed excellent, eight good, ten fair and twenty-two hips poor results. The use of hemiendoprosthetic replacement should be reserved for displaced fractures and for patients with a short life expectancy. In cases of even initial osteoarthritis primary total hip arthroplasty should be performed if an endoprosthetic replacement is considered.
162例股骨颈骨折采用Moore人工关节置换治疗。术后初期死亡率为8%,术后平均7年时,25%的患者存活。记录到22例并发症。9例患者接受了二次手术。31例患者参与了临床随访研究,8例患者回答了主观问卷。2例髋关节效果极佳,8例良好,10例尚可,22例髋关节效果差。半髋关节置换应仅用于移位骨折和预期寿命较短的患者。对于即使是初期骨关节炎的病例,如果考虑进行人工关节置换,应行初次全髋关节置换术。