[1]李明辉△ 刘洋 王彩明 张觅 闻一新.加长柄假体置换联合股骨近端重建治疗高龄患者不稳定型股骨粗隆间骨折43例[J].中国中医骨伤科杂志,2020,28(02):59-62.
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加长柄假体置换联合股骨近端重建治疗高龄患者不稳定型股骨粗隆间骨折43例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第28卷
期数:
2020年02期
页码:
59-62
栏目:
临床报道
出版日期:
2020-02-10

文章信息/Info

文章编号:
1005-0205(2020)02-0059-04
作者:
李明辉1△ 刘洋1 王彩明1 张觅1 闻一新1
1武汉市第五医院骨科(武汉,430050)
关键词:
股骨粗隆间骨折 高龄患者 股骨加长柄假体 人工关节置换术
分类号:
R683.42
文献标志码:
B
摘要:
目的:探讨股骨加长柄假体置换联合股骨近端重建治疗高龄且伴有骨质疏松的患者不稳定型股骨粗隆间骨折的临床疗效。方法:回顾分析2014年1月至2018年7月采用克氏针张力带或股骨近端融合钢板复位固定股骨大、小粗隆骨折块,同时结合股骨加长柄假体行人工关节置换,治疗高龄伴有骨质疏松的患者不稳定型股骨粗隆间骨折病例共43例。所有患者均记录手术时间、术中出血量、下床时间以及术中或术后并发症。术后1,3,6,12个月定期门诊随访,X线片观察假体与骨界面骨愈合情况,末次随访时采用Harris髋关节功能评分评估患者髋关节功能。结果:43例患者术前等待时间2~15 d,平均(4.0±1.5)d,手术操作时间65~130 min,平均(102.0±11.5)min,术中出血量250~750 mL,平均(345±45)mL,术后下床时间3~21 d,平均(13.0±2.4)d,术后随访12~48个月,平均(20.0±2.2)个月。所有患者骨折均完全愈合,无假体松动、下沉及内固定失效的情况。末次随访Harris髋关节功能评分72~95分,平均为(86.5±14.0)分,其中优14例(32.56%),良23例(53.49%),中6例(13.95%),优良率为86.05%.结论:股骨近端重建联合加长柄假体治疗伴有骨质疏松的高龄患者股骨粗隆间不稳定骨折,是一种并发症少、疗效安全可靠的方法。

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备注/Memo

备注/Memo:
通信作者 E-mail:lmh061127@163.com(收稿日期:2019-0-0)
更新日期/Last Update: 2020-02-10