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[1]胡漢,徐紅偉,鄭松,等.LISS鋼板內(nèi)固定聯(lián)合骨水泥棒股骨髓腔植入治療C2型老年骨質(zhì)疏松性股骨遠端骨折[J].中醫(yī)正骨,2019,31(09):64-66.
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LISS鋼板內(nèi)固定聯(lián)合骨水泥棒股骨髓腔植入治療C2型老年骨質(zhì)疏松性股骨遠端骨折()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期數(shù):
2019年09期
頁碼:
64-66
欄目:
臨床報道
出版日期:
2019-09-20

文章信息/Info

作者:
胡漢徐紅偉鄭松劉明張中偉
(嘉興市第二醫(yī)院,浙江 嘉興 234001)
關(guān)鍵詞:
股骨骨折 骨質(zhì)疏松性骨折 老年人 骨折固定術(shù)內(nèi)
摘要:
目的:探討LISS鋼板內(nèi)固定聯(lián)合骨水泥棒股骨髓腔植入治療C2型老年骨質(zhì)疏松性股骨遠端骨折的臨床療效和安全性。方法:2016年2月至2018年2月,采用LISS鋼板內(nèi)固定聯(lián)合骨水泥棒股骨髓腔植入治療C2型老年骨質(zhì)疏松性股骨遠端骨折患者15例。男5例,女10例; 年齡70~84歲,中位數(shù)78歲; 均為單側(cè)閉合性新鮮骨折,左側(cè)8例、右側(cè)7例。均未合并股神經(jīng)和血管損傷。術(shù)中根據(jù)股骨遠端髓腔的直徑選擇合適的橡膠管,用聚甲基丙烯酸甲酯骨水泥填充橡膠管制成骨水泥棒,骨水泥冷卻后去除橡膠管,將骨水泥棒插入髓腔,然后復(fù)位骨折、LISS鋼板固定。術(shù)后隨訪觀察患者骨折愈合、膝關(guān)節(jié)功能恢復(fù)、生活質(zhì)量改善及并發(fā)癥發(fā)生情況。結(jié)果:本組15例患者均順利完成手術(shù)。14例患者獲得隨訪,隨訪時間12~17個月,中位數(shù)13個月; 骨折均愈合,愈合時間18~34周,中位數(shù)24周。患膝Lysholm膝關(guān)節(jié)評分,術(shù)前(56.26±1.30)分、術(shù)后3個月(70.31±0.79)分、術(shù)后6個月(80.50±0.89)分、術(shù)后12個月(91.56±0.61)分。患者健康調(diào)查簡表評分,術(shù)前(67.20±3.62)分、末次隨訪時(84.94±1.04)分。術(shù)后并發(fā)膝關(guān)節(jié)僵硬1例,經(jīng)手法松解治療及康復(fù)鍛煉,膝關(guān)節(jié)屈曲度恢復(fù)至70°。均無鋼板螺釘松動、感染等并發(fā)癥發(fā)生。結(jié)論:LISS鋼板內(nèi)固定聯(lián)合骨水泥棒股骨髓腔植入治療C2型老年骨質(zhì)疏松性股骨遠端骨折,固定可靠,骨折愈合好,有利于膝關(guān)節(jié)功能的恢復(fù),可提高患者生活質(zhì)量,并發(fā)癥少。

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備注/Memo

備注/Memo:
(收稿日期:2019-06-08 本文編輯:楊雅)
更新日期/Last Update: 2019-09-15