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在老年患者中,混凝土与无混凝土的全关节整形术的比较:前性队列研究

Abhinav Sharma¹, Kishor Uikey², Santosh Kumar Mishra³

¹Department of Orthopaedics, Government Medical College, Satna, Madhya Pradesh, India.

Journal of orthopaedic case reports

|March 12, 2026

概括

与老年患者的无THA相比,在6个月和12个月后,关节整形术 (THA) 显示出更好的功能结果,并具有类似的并发症率. 这支持在这个人口群体中继续使用固固定用于关节置换.

科学领域:

整形外科手术整形外科手术
老年医学老年医学

背景情况:

全关节整形术 (THA) 是一种常见的手术,用于患有晚期关节疾病的老年患者.
在THA中固定大腿骨的最佳方法,是水泥化还是无水泥化,仍然是争论的主题.
这项研究涉及老年人群中这两种固定方法的临床,手术内和放射性结果.

研究的目的:

为了比较全关节整形手术 (THA) 的临床,手术内和放射性结果.
评估接受初级单边THA治疗的老年患者的功能恢复和并发症率.
在65岁及以上的患者中确定THA的最佳股骨固定方法.

主要方法:

一项前性队列研究,涉及120名患者 (年龄≥65岁),接受初级单边THA.
患者被分配到固 (n=60) 或无固 (n=60) 的股骨固定组.
评估的结果包括手术时间,血液损失,哈里斯关节评分 (HHS),并发症和12个月的X光学发现.

主要成果:

混凝土THA的操作时间和血液损失明显高于无混凝土THA.
两组都表现出功能改善,但在6个月和12个月后,凝固的THA获得了优越的HHS.
组之间并发症率 (感染,脱,松,死亡率) 和放射性结果是可比的.

结论:

固化和无固化THA在老年患者中都产生了有利的结果.
在THA中凝固的股骨固定与中期和晚期功能结果的改善有关.
凝固的THA对于老年患者来说是一个可行的选择,提供更好的功能结果,而不会增加短期并发症.

关键词:

哈里斯·哈里斯部得分整体关节整形术关节整形术凝固固定固定固定固定固定固定固定固定固定固定固定没有水泥的固定装置.年长的病人,老年患者.

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