Nilsson L T, Jalovaara P, Franzén H, Niinimäki T, Strömqvist B
Department of Orthopedics, University Hospital, Lund, Sweden.
J Arthroplasty. 1994 Aug;9(4):369-74. doi: 10.1016/0883-5403(94)90046-9.
Four to 12 years after primary treatment of femoral neck fracture with hemiarthroplasty in a group of Finnish patients and secondary total hip arthroplasty as a salvage procedure for healing complication after primary osteosynthesis in a group of Swedish patients, function was classified and the Nottingham Health Profile questionnaire was applied. The two groups were comparable with regard to age, sex, and social status. The patients with secondary total hip arthroplasty used walking aids to a lesser extent than the patients with hemiarthroplasty and experienced less problems in several aspects of life. Walking ability was considered unchanged, compared to prefracture, to a larger extent in the secondary total hip arthroplasty group. Thus, secondary total hip arthroplasty in patients with healing complication following primary osteosynthesis gives better long-term functional capacity than that obtained with a primary hemiarthroplasty.
在一组芬兰患者中，对股骨颈骨折进行半髋关节置换术作为初次治疗，4至12年后；在一组瑞典患者中，对初次骨合成后愈合并发症进行二期全髋关节置换术作为挽救手术。对患者功能进行分类，并应用诺丁汉健康状况调查问卷。两组在年龄、性别和社会地位方面具有可比性。二期全髋关节置换术患者使用助行器的程度低于半髋关节置换术患者，并且在生活的几个方面遇到的问题更少。与骨折前相比，二期全髋关节置换术组患者的行走能力在更大程度上被认为没有变化。因此，初次骨合成后出现愈合并发症的患者进行二期全髋关节置换术，其长期功能能力优于初次半髋关节置换术。
