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[1]王慶東,徐向峰,金艷南,等.生物型加長柄人工股骨頭置換術治療高齡不穩(wěn)定性股骨轉子間骨折[J].中醫(yī)正骨,2017,29(02):34-37.
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生物型加長柄人工股骨頭置換術治療高齡不穩(wěn)定性股骨轉子間骨折()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年02期
頁碼:
34-37
欄目:
臨床報道
出版日期:
2017-02-20

文章信息/Info

作者:
王慶東徐向峰金艷南李杰峰彭高峰康樂李付彬
漯河醫(yī)學高等專科學校第二附屬醫(yī)院,河南 漯河 462300
關鍵詞:
關節(jié)成形術置換 髖骨折 髖假體 股骨頭 老年人
摘要:
目的:觀察生物型加長柄人工股骨頭置換術治療高齡不穩(wěn)定性股骨轉子間骨折的臨床療效和安全性。方法:2009年8月至2015年1月,采用生物型加長柄人工股骨頭置換術治療高齡不穩(wěn)定性股骨轉子間骨折患者48例,男12例、女36例。年齡78~93歲,中位數(shù)79歲。左側19例,右側29例。按照股骨轉子間骨折的AO分型,A2.2型39例、A2.3型9例。合并糖尿病5例,高血壓20例。術后隨訪觀察骨折愈合、并發(fā)癥發(fā)生情況,并于末次隨訪時采用Harris髖關節(jié)評分標準評價療效。結果:手術時間50~110 min,中位數(shù)61 min; 術中失血量200~550 mL,中位數(shù)290 mL。所有患者均獲隨訪,隨訪時間12~15個月,中位數(shù)14個月。骨折均愈合。1例術后切口感染,經清創(chuàng)、靜脈滴注抗生素后感染得到控制; 2例術后患肢短縮1.5 cm,因未出現(xiàn)癥狀而未做任何處理; 2例關節(jié)假體出現(xiàn)輕微下沉并伴有大腿疼痛,給予口服止痛藥后疼痛得到控制。髖關節(jié)功能均無受限,均無假體周圍骨折、髖關節(jié)脫位、假體無菌性松動、異位骨化等并發(fā)癥發(fā)生。末次隨訪時,Harris評分(78.8±8.2)分,優(yōu)32例、良11例、可5例。結論:采用生物型加長柄人工股骨頭置換術治療高齡不穩(wěn)定性股骨轉子間骨折,創(chuàng)傷小,手術時間短,骨折愈合率高,能促進患肢功能的恢復,并發(fā)癥少,值得臨床推廣應用。

參考文獻/References:

[1] MIYAMOTO RG,KAPLAN KM,LEVINE BR,et al.Surgical management of hip fractures:an evidence-based review of the literature.I:femoral neck fractures[J].J Am Acad Orthop Surg,2008,16(10):596-607.
[2] SIDHU AS,SINGH AP,SINGH AS,et al.Total hip replacement as primary treatment of unstable intertrochanteric fractures in elderly patients[J].Int Orthop,2010,34(6):789-792.
[3] HARRIS WH.Traumatic arthritis of the hip after dislocation and acetabular fractures:treatment by mold arthroplasty.An end-result study using a new method of result evaluation[J].J Bone Joint Surg Am,1969,51(4):737-755.
[4] HARRIS WH.Traumatic arthritis of the hip after dislocation and acetabular fratures:treatment by mold arthroplasty[J].J Bone Joint Surg Am,1969,51(4):737-755.
[5] SANCHETI Kh,SANCHETI P,SHYAM A,et al.Primary hemiarthroplasty for unstable osteoporotic intertrochanteric fractures in the elderly:a retrospective case series[J].Indian J Orthop,2010,44(4):428-434.
[6] IMRAN HARUNA A.A review of tip apex distance in dynamic hip screw fixation of osteoporotic hip fractures[J].Niger Med J,2012,53(4):184-191.
[7] UZER G,ELMADA(ˇoverG)NM,YILDIZ F,et al.Comparison of two types of proximal femoral hails in the treatment of intertrochanteric femur fractures[J].Ulus Travma Acil Cerrahi Derg,2015,21(5):385-391.
[8] FRIHAGEN F,GROTLE M,MADSEN JE,et al.Outcome after femoral neck fractures:a comparison of Harris Hip Score,Eq-5d and Barthel Index[J].Injury-International Journal of the Care of the Injured,2008,39(10):1147-1156.
[9] LIU M,YANG Z,PEI F,et al.A meta-analysis of the Gamma nail and dynamic hip screw in treating peritrochanteric fractures[J].Int Orthop,2010,34(3):323-328.
[10] SIMMERMACHER RK,LJUNGQVIST J,BAIL H,et al.The new proximal femoral nail antirotation(PFNA)in daily practice:results of a multicentre clinical study[J].Injury,2008,39(8):932-939.
[11] DESTELI EE,(·overI)MREN Y,ERDO(ˇoverG)AN M,et al.Quality of Life following treatment of trochanteric fractures with proximal femoral nail versus cementless bipolar hemiarthroplasty in elderly[J].Clin Invest Med,2015,38(2):63-72.
[12] JONES HW,JOHNSTON P,PARKER M.Are short femoral nails superior to the sliding hip screw?A meta-analysis of 24 studies involving 3,279 fractures[J].Int Orthop,2006,30(2):69-78.
[13] GEIGER F,ZIMMERMANN-STENZEL M,HEISEL C,et al.Trochanteric fractures in the elderly:the influence of primary hip arthroplasty on 1-year mortality[J].Arch Orthop Trauma Surg,2007,127(10):959-966.
[14] HASSANKHANI EG,OMIDI-KASHANI F,HAJITAGHI H,et al.How to treat the complex unstable intertrochanteric fractures in elderly patients?DHS or arthroplasty[J].Archives of Bone & Joint Surgery,2014,2(3):174-179.
[15] KIM Y,MOON JK,HWANG KT,et al.Cementless bipolar hemiarthroplasty for unstable intertrochanteric fractures in octogenarians[J].Acta Orthop Traumatol Turc,2014,48(4):424-430.
[16] SHEN J,WANG L,CHEN X,et al.Bipolar hemiarthroplasty compared with internal fixation for unstable intertrochanteric fractures in elderly patients[J].J Orthop Sci,2012,17(6):722-729.
[17] CALLAGHAN J,SALVATI A,PELLICCI M,et al.Results of revision for mechanical failure after cemented total hip replacement, 1979 to 1982.A two to five-year follow-up[J].J Bone Joint Surg Am,1985,67(7):1074-1085.
[18] CHRISTIE J,BURNETT R,POTTS R,et al.Echocardiography of transatrial embolism during cemented and uncemented hemiarthroplasty of the hip[J].J Bone Joint Surg Br,1994,76(3):409-412.
[19] BONNEVIALLE P,SARAGAGLIA D,EHLINGER M,et al.Trochanteric locking nail versus arthroplasty in unstable intertrochanteric fracture in patients aged over 75 years[J].Orthop Traumatol Surg Res,2011,97(6 Suppl):95-100.
[20] YLI-KYYNY T,OJANPERÄ J,VENESMAA P,et al.Perioperative complications after cemented or uncemented hemiarthroplasty in hip fracture patients[J].Scand J Surg,2013,102(2):124-128.
[21] YOUNG-KYUN L,YONG-CHAN H,BYEONG-KEUN C,et al.Cementless bipolar hemiarthroplasty using a hydroxyapatite-coated long stem for osteoporotic unstable intertrochanteric fractures[J].J Arthroplasty,2011,26(4):626-632.
[22] NG ZD,KRISHNA L.Cemented versus cementless hemiarthroplasty for femoral neck fractures in the elderly[J].J Orthop Surg(Hong Kong),2014,22(2):186-189.
[23] GÖÇER H,COSKUN S,KARAISMAILO(ˇoverG)LU N.Comparison of treatment of unstable intertrochanteric fracture with different arthroplasty methods[J].Niger Med J,2016,57(2):81-85.
[24] 包倪榮,趙建寧,周利武,等.人工股骨雙動頭置換治療高齡不穩(wěn)定型股骨轉子間骨折的并發(fā)癥分析[J].中國骨傷,2010,23(5):329-331.
[25] MUSTAFA C,EMR T,OZKAN K.Calcar preservation arthroplasty for unstable intertrochanteric femoral fractures in elderly[J].Clin Orthop Surg,2015,7(4):436-442.

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更新日期/Last Update: 2017-08-07