股骨颈骨折要多长时间恢复?

9个月前 (05-09) 0 点赞 0 收藏 0 评论 134 已阅读

股骨颈骨折的恢复,不是我们印象中的打几个月石膏就可以了。股骨颈骨折被戏称为“人生最后一次骨折”,因为老年股骨近端骨折后大多数卧床不起,身体便一天不如一天,最终出现包括但不限于肺部感染、泌尿系感染、褥疮以及下肢深静脉血栓在内的并发症而要了患者的命。所以老年人股骨颈骨折多建议手术治疗,避免长期卧床的慢性自杀。

股骨颈骨折分型

Garden I型(不全骨折)及II型(完全骨折但无移位):

Garden I型(不全骨折)及II型(完全骨折但无移位)的老年患者多主张采取内固定术治疗,有利于患者康复;术后1个月至3个月复查,根据骨折愈合情况考虑下地活动。

怎么算骨折愈合,你的主治医师会告诉你,这里也简单提一下。骨折愈合过程分三个阶段:

1、血肿炎症机化期,约2周;

2、原始骨痂形成期,约需2个月,可下地不全负重行走;

3、骨痂改造塑形期,骨折部位形成骨连接,至少8-12周,应合理加强患肢锻炼,尽快恢复日常生活

骨折愈合标准:1、髋部无压痛及纵向叩击痛;2、髋关节无异常活动;3X线显示骨折线模糊,有连续骨痂通过骨折线;4、功能测定:解除外固定情况下,连续徒手步行3分钟并不少于30步。

Garden III型(完全骨折部分移位)及IV型(完全骨折完全移位):

Garden III型(完全骨折部分移位)及IV型(完全骨折完全移位)骨折患者,年龄较大者,多采用人工股骨头置换术或人工全髋关节置换术。术后三天即可下地拄拐行走,保护期是三个月。

Garden III型及IV型骨折患者,年龄较小者,可采用带血运的骨瓣植骨内固定术(常用缝匠肌蒂髂骨瓣植骨术和旋髂深动脉髂骨瓣植骨术);三个月左右即可弃拐自行。

对于年轻患者,骨折断端不是头下或者经颈型,可采取非手术治疗,患肢轻度外展位摆放,采用皮肤牵引、制动,丁字鞋固定;卧硬板床至少3个月后,逐渐下地负重,锻炼大概3个月基本可以恢复到日常生活及工作当中。

总的来说,股骨颈骨折患者快则3个月,慢则6个月痊愈,有的甚至有的一年半载都没完全痊愈的。具体多久能愈合牢固,这将因人而异。

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韩国进口DiskDr运动扭伤护腕腱鞘固定骨折医用健身篮球手腕男女 券后价¥268.00 天猫 优惠券¥30.00 立即领券
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