Calder S J, Anderson G H, Harper W M, Jagger C, Gregg P J
University Department of Orthopaedic Surgery, Glenfield General Hospital, Leicester, UK.
J Bone Joint Surg Br. 1995 May;77(3):494-6.
We report a randomised prospective trial of the early results of three types of treatment for displaced intracapsular hip fractures. We used a questionnaire sent to patients at about six months (Nottingham Health Profile, NHP) in addition to clinical assessments. There was a 67.4% usable response to the questionnaire, similar to that in other studies using the NHP. There were more responders from younger patients, those walking independently before injury and those with higher mental test scores on admission. In the younger group (65 to 79 years) we found a trend for better scores in most NHP indices after the use of a bipolar prosthesis rather than a unipolar prosthesis or internal fixation, particularly for social function, pain and physical mobility. Postal assessment using the NHP gave a satisfactory response rate even in the elderly, and can provide an extra assessment to complement or replace hospital follow-up in some circumstances.
我们报告了一项关于三种治疗移位型髋关节囊内骨折方法早期结果的随机前瞻性试验。除了临床评估外，我们还向患者发送了一份约六个月时的问卷（诺丁汉健康量表，NHP）。问卷的有效回复率为67.4%，与其他使用NHP的研究相似。年轻患者、受伤前能独立行走的患者以及入院时心理测试得分较高的患者中回复问卷的人数更多。在较年轻的组（65至79岁）中，我们发现使用双极假体而非单极假体或内固定后，大多数NHP指标得分有更好的趋势，特别是在社会功能、疼痛和身体活动能力方面。即使对于老年人，使用NHP进行邮寄评估也有令人满意的回复率，并且在某些情况下可以提供额外的评估以补充或替代医院随访。
