Emery D P, Gray D H
Department of Orthopaedic Surgery, Middlemore Hospital, South Auckland, New Zealand.
Aust N Z J Surg. 1996 Mar;66(3):159-61. doi: 10.1111/j.1445-2197.1996.tb01146.x.
Matchett Brown hemiarthroplasty has been routinely performed at Middlemore Hospital in elderly patients following subcapital fracture of the hip. The outcome of patients undergoing Matchett Brown hemiarthroplasty was evaluated.
Matchett Brown hemiarthroplasties performed at Middlemore Hospital during 1987 were retrospectively reviewed. Medical records were reviewed and where possible patients were interviewed, examined and radiographs of their hip taken.
The overall survival at follow up was 34%, with the greatest predictor of survival being whether the patient had been living alone prior to the accident. The majority of patients who survived the 4 year follow up had excellent mobility at the time of fracture. At follow up most patients had little or no pain from their hip, but three complained of constant pain.
Hemiarthroplasty proved to be a satisfactory form of replacement in this group. If one were to select a patient for total hip replacement, rather than hemiarthroplasty, then age alone is not as important as other factors such as degree of mobility and independence of living.
在米德尔莫尔医院，对于老年患者髋部头下型骨折后常规施行马切特·布朗半髋关节置换术。对接受马切特·布朗半髋关节置换术的患者的预后进行了评估。
对1987年在米德尔莫尔医院施行的马切特·布朗半髋关节置换术进行回顾性分析。查阅病历，在可能的情况下对患者进行访谈、检查并拍摄其髋部X线片。
随访时的总体生存率为34%，生存的最大预测因素是患者在事故发生前是否独居。在4年随访中存活的大多数患者在骨折时活动能力良好。随访时大多数患者髋部几乎没有疼痛或完全无痛，但有3例患者抱怨持续疼痛。
在该组患者中，半髋关节置换术被证明是一种令人满意的置换方式。如果要选择患者进行全髋关节置换而非半髋关节置换，那么年龄本身不如其他因素重要，如活动能力和生活自理程度。
