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混合型人工全髋关节置换术治疗老年股骨颈骨折
目的随访一组经混合型全髋关节置换术的股骨颈骨折老年的患者,了解骨水泥型股骨假体和非骨水泥型髋臼假体的组合应用于健康和骨质质量较差的老年患者的情况.方法 41名患者得到临床和影像学随访.随访内容包括老年患者的健康状况、手术方法、术后恢复情况以及对于骨形态、骨水泥固定质量和假体稳定性.结果未出现与骨水泥相关的术中和或术后死亡,各类全身性疾病在围手术期无加重表现.Harris评分为81.1分.股骨近端骨形态A型占20%,B型56%,C型24%.骨水泥固定质量分为A级37%,B级49%,C级4%.结论混合型人工关节置换术对老年股骨颈骨折患者较为适用.混合型人工关节的术后即时稳定性有利于老年患者的康复.在手术中必须应用现代骨水泥技术.
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护生对老年股骨颈骨折病人家庭访视效果分析
随着社会不断进步,人们的生活质量不断提高,医疗条件不断改善,人均寿命不断提高,社会人口老龄化进程在不断加快.根据第5次人口普查资料,我国60岁以上老年人口和65岁以上老年人口占总人口的比例分别超过10%和7%,已步人老龄化国家的行列[1].
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加强老年股骨颈骨折股骨头置换术围术期病人的心理护理
股骨颈骨折是老年人常见的一种严重创伤性疾病,其发病率随年龄增长有上升趋势.目前行之有效的治疗手段仍然是手术.2005年1月-2009年12月,于我科收治的老年股骨颈骨折病人中,行人工股骨头置换术病人146例,进行有计划的整体护理,其中76例在进行有计划的整体护理基础上加强心理护理,取得了良好效果,现报道如下.
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老年股骨颈骨折病人围术期的护理干预
股骨颈骨折是老年人常见骨科创伤之一,我国发病率呈逐年增高趋势.老年人随年龄增长,骨质疏松症状严重,同时髋周肌肉松弛,股骨颈在较低强度外力作用即可发生骨折[1,2].同时老年人多合并高血压、冠心病及慢性阻塞性肺疾病等基础疾病,术后易发生呼吸系统感染、压疮等并发症[3].这些都给临床护理工作带来极大的困难与挑战.本研究同顾性分析我院老年股骨颈骨折病的临床护理资料,总结护理干预措施,提高临床治疗效果,降低术后并发症发生率,促进病人早日康复.
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温馨服务护理在老年股骨颈骨折病人围手术期中的应用
股骨颈骨折多发生于老年人,且以女性为多[1],老年人往往同时有内科系统疾病,但治疗手段主要是手术治疗.老年人骨质疏松,加上手术创伤大,病人产生恐惧、焦虑、烦躁等心理,因而增加了术后护理的复杂和难度,我科于2005年1月-2007年12月将温馨服务护理工作贯穿于股骨颈骨折病人的围术期的全过程,有效的服务减轻了病人不良的心理反应,减少了并发症的发生,提高了病人的满意度,真正体现了"以病人为中心的服务宗旨",顺应了现代护理学科的发展.现介绍如下.
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骨水泥型人工髋关节置换治疗老年股骨颈骨折术后近期行走功能随访
Objective To investigate the effect of cemented artificial hip replacement in the treatment of senile femoral neck fracture.Method Follow up the 18 patients with senile femoral neck fracture who received bony cemented artificial hip replacement during January 1999 to September 2001.Mean following- up duration:15.7 months(3~ 23).Result Harris score:15 cases got excellent result,3 cases got good result,none got fair result.Total X ray plain film:Position of prothesis was normal with no loosing,heterotopic ossification or dislocation. Conclusion (1)Variant cemented artificial hip replacements all have satisfying effect in near future.(2)It is feasible for patients with poor economic condition to choose native prothesis in arthroplasty.(3)Di- polar artificial thigh bone replacement is a better choice for weak patient with great age.
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双头螺纹加压钉内固定术后康复训练治疗老年股骨颈骨折
Backgroud:It is troublesome to treat senile femoral neck fracture.The main complications are un-healing of bone and necrosis of femoral head.
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螺纹针内固定术后中药康复治疗股骨颈骨折
Background:Femoral neck fracture is one of common and severe injury in old people. We utilize transcutaneous Screw thread needle internal fixation treat it, cooperated with Chinese medicine treatment, and gained good effects.
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临床护理路径在股骨颈骨折空心钉内固定病人中的应用
随着我国加入WTO以及医疗付费制度的改革,缩短病人住院日程和降低病人住院费用势在必行.而临床护理路径正是适应新形势的一种崭新的照护模式,是由医生、护士和其他专业人员针对某个诊断或手术所做的适当、有顺序性和时间性的照顾计划,以减少康复的延迟与资源的浪费,使服务对象获得佳的照顾质量[1].2002年1月~2003年9月,我们在股骨颈骨折行空心钉内固定治疗的患者群中实施临床护理路径,取得满意的效果,现报告如下.
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人工髋关节置换治疗老年陈旧性股骨颈骨折
股骨颈骨折是老年人的一种常见骨折.新鲜的股骨颈骨折治疗方法较多,其中以人工髋置换方法较为理想,疗效也较为满意.
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肾性抽搐致股骨颈骨折一例报告
患者女性,53岁,既往反复应用"龙胆泻肝丸"10余年,发现肾功能不全4年.此次因胸闷、憋气半个月入院,入院后血生化示尿素氮45.2 mmol/L,肌酐1112 μmol/L,血钙0.95mmol/L,血磷4.6 mmol/L.
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临床病例讨论——股骨颈骨折术后股骨头缺血坏死
病历摘要患者,男性,13岁,因"机动车撞伤致右髋部疼痛1 h"于2007年4月30日至本院骨科就诊.急诊查体:患者痛苦面容,右侧髋关节和膝关节轻度屈曲,右下肢轻度外旋,局部无明显肿胀,右侧腹股沟韧带中点压痛明显,右髋关节主动运动丧失,被动活动疼痛加重,触诊检查大转子,大转子位于髂-坐骨结节连线之上,大转子与髂前上棘之间的距离右侧较左侧短缩约1.5 cm.急诊摄双侧股骨上段正位X线片示右侧股骨颈基底骨折(Garden Ⅳ型),移位明显(图1).急诊诊断:右侧股骨颈基底骨折.收治入院后,经完善术前常规检查,在与患者家属讨论治疗方案后,即日在硬膜外麻醉下急诊行"右侧股骨颈骨折闭合复位3枚空心钉固定术".
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临床病例讨论——髋臼合并股骨颈骨折的手术治疗
病历摘要患者,男性,31岁,因交通伤致左髋关节疼痛、活动受限3d,诊断为左侧髋臼合并同侧股骨颈骨折和股骨头脱位,于2007年1月31日由当地医院转入我院.该患者于3 d前(2007年1月28日)因骑摩托车不慎与汽车相撞,致左髋疼痛、活动受限,不能行走,伴头面部肿痛,但无昏迷、呕吐.被急送当地医院就诊,经体检、X线摄片和CT等检查,排除了颅脑和内脏器官损伤以及创伤性休克,初步诊断为左侧髋臼合并同侧股骨颈骨折和股骨头脱位,给予骨牵引、镇痛和补液等对症治疗.
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空心加压螺钉治疗股骨颈骨折的体会
目的:探讨空心加压螺钉治疗股骨颈骨折的手术方法及疗效。方法选择52例股骨颈骨折采用空心加压螺钉内固定治疗。结果所有52例患者均获得随访,随访时间1~5年,髋关节功能优39例,良7例,中2例,差4例,优良率88.5%。结论应用空心加压螺钉内固定是治疗股骨颈骨折的有效方法之一。
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Objective: To compare the results of femoral head replacement (FHR) and total hip replacement (THR) in treatment of subcapital femoral neck fractures (SFNF). Methods: Between May 1987 and July 1998, 56 elderly patients (65-90 years; average 73.5 years) with SFNF were treated with prosthetic replacement. Six cases were treated with unipolar FHR, 18 cases with Bateman bipolar FHR, and 32 cases with Bateman bipolar THR. All domestic prostheses were installed with cement. Results: There was no significant difference between the 2 groups in operating time and blood transfusion. Forty-nine patients were followed-up for an average of 5 years and 10 months. No wound infection or death was related to surgery. Complications in Group FHR were significantly higher than that in Group THR. Conclusions: Since FHR is difficult to fit the bony acetabulum, it is only indicated for senile cases with poor conditions. However, the bipolar THR installed with cement is indicated for most elderly patients. Since the femoral head and acetabulum can fit each other completely, it is more stable for taking weight-bearing earlier with less complications.
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From 1990 to 2000, we used Hansson pin, AOhollow-pulling screw, and bendable screw to treat150 cases of fresh femoral neck fracture and theresult was analysed to compare the efficacy of the threemethods of internal fixation.