王晓嘉

【摘要】 目的：探讨关节假体置换选择在四肢骨折治疗中的应用效果。方法：选取2016年7月-2017年5月笔者所在医院收治的104例四肢骨折患者为研究对象，根据不同手术治疗方法分为常规组和观察组，每组52例，常规组实施髋螺钉内固定术治疗，观察组实施关节假体置换手术。结果：观察组治疗总有效率为98.08%，高于常规组的78.85%，观察组不良反应发生率为9.62%，低于常规组的11.54%，比较差异均有统计学意义（P<0.05）；治疗后，观察组JOA髋关节功能评分高于常规组，观察组关节疼痛程度得分明顯低于常规组，疼痛缓解更明显，比较差异有统计学意义（P<0.05）。结论：对四肢骨折患者采用关节假体置换术，治疗效果确切，是较为理想的关节成形术，能保留关节的功能，还可降低术后疼痛程度，提高预后效果，改善患者的生存质量，值得推广。

【关键词】 四肢骨折； 关节假体置换； 效果

doi：10.14033/j.cnki.cfmr.2018.4.003 文献标识码 A 文章编号 1674-6805（2018）04-0006-02

Application of Joint Prosthetic Replacement in the Treatment of Fractures of the Limbs/WANG Xiaojia.//Chinese and Foreign Medical Research，2018，16（4）：6-7

【Abstract】 Objective：To discuss the effect of joint prosthesis replacement in the treatment of limbs fractures.Method：From July 2016 to May 2017，104 patients with limbs fractures admitted in our hospital were selected as the object，and were divided into conventional group and observation group according to different surgical treatment methods，each group of 52 cases.The conventional group was treated with internal fixation of hip screw fixation，the observation group underwent joint prosthesis replacement.Result：The total effective rate of the observation group was 98.08%，higher than 78.85% of the conventional group，and the incidence of adverse reactions in the observation group was 9.62%，lower than 11.54% of the conventional group，with significant differences（P<0.05）.After treatment，the JOA hip joint function score of the observation group was higher than that of the conventional group，the score of joint pain in the observation group was significantly lower than that of the conventional group，and the pain relief was more obvious，the difference was statistically significant（P<0.05）.Conclusion：The use of joint prosthesis replacement for patients with fractures of the extremities is an ideal arthroplasty technique that can retain the function of the joint，reduce the degree of postoperative pain，improve the prognosis and improve the quality of life of the patients，which is worth popularizing.

【Key words】 Limb fracture； Replacement of joint prosthesis； Effect

First-authors address：The Thirteenth Peoples Hospital of Chongqing，Chongqing 400053，China

四肢骨折多发病于中老年人，关于四肢骨折的治疗，多主张选择手术方式进行治疗，但术式选择非常关键，以往选择内固定术治疗，不仅失败率较高，还需要患者长期卧床休养，降低生存质量，整体治疗效果并不令人满意[1]。随着医疗技术的发展，关节假体置换手术治疗应用越来越广泛，能有效缓解疼痛，还可保留关节功能，得到患者和医师的认可和满意。本研究中，笔者所在医院对104例四肢骨折患者采用不同手术方式进行治疗，观察关节假体置换手术治疗的优势，现报道如下。

1 资料与方法

1.1 一般资料

选取2016年7月-2017年5月笔者所在医院收治的104例四肢骨折患者为研究对象，根据不同手术治疗方法分为常规组和观察组，每组52例。常规组男27例，女25例，年龄42～89岁，平均（63.7±2.8）岁；骨折原因：交通事故23例，摔伤10例，坠伤19例；并发疾病：高血压18例，心律失常14例，高血糖12例，高血脂8例。观察组男29例，女23例，年龄43～90岁，平均（64.5±2.9）岁；骨折原因：交通事故24例，摔伤14例，坠伤14例；……