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[1]胡柏松,楊炯,孫奇.鋼絲環(huán)扎內固定聯(lián)合人工股骨頭置換治療合并大小轉子及后內側皮質骨折塊的高齡股骨轉子間骨折[J].中醫(yī)正骨,2022,34(03):69-72.
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鋼絲環(huán)扎內固定聯(lián)合人工股骨頭置換治療合并大小轉子及后內側皮質骨折塊的高齡股骨轉子間骨折()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期數(shù):
2022年03期
頁碼:
69-72
欄目:
臨床報道
出版日期:
2022-03-20

文章信息/Info

作者:
胡柏松楊炯孫奇
(杭州市富陽中醫(yī)骨傷醫(yī)院,浙江 杭州 311400)
關鍵詞:
髖骨折 轉子間骨折 老年人 骨折固定術 鋼絲環(huán)扎 關節(jié)成形術置換
摘要:
目的:觀察鋼絲環(huán)扎內固定聯(lián)合人工股骨頭置換治療合并大小轉子及后內側皮質骨折塊的高齡股骨轉子間骨折的臨床療效和安全性。方法:2017年3月至2019年3月,采用鋼絲環(huán)扎內固定聯(lián)合人工股骨頭置換治療合并大小轉子及后內側皮質骨折塊的高齡股骨轉子間骨折患者16例。男5例,女11例。年齡81~92歲,中位數(shù)86歲。均為順轉子間骨折。記錄手術時間、術中出血量、術后開始完全負重時間,隨訪觀察并發(fā)癥發(fā)生情況。末次隨訪時,采用Harris髖關節(jié)評分標準評價臨床療效。結果:本組16例,手術時間(57±10)min,術中出血量(210±45)mL。術后開始完全負重時間1~7 d,中位數(shù)4 d。所有患者均獲隨訪,1例術后8個月死于多器官功能衰竭,其余15例隨訪時間24~42個月,中位數(shù)36個月。1例負重后假體下沉,術后3個月下沉停止; 其余患者均未發(fā)生感染、髖關節(jié)脫位、假體松動等并發(fā)癥。末次隨訪時,15例患者Harris髖關節(jié)評分(90.3±3.5)分,優(yōu)10例、良4例、可1例。結論:鋼絲環(huán)扎內固定聯(lián)合人工股骨頭置換治療合并大小轉子及后內側皮質骨折塊的高齡股骨轉子間骨折,手術時間短、術中出血量少,術后可早期完全負重,髖關節(jié)功能恢復較好,且安全性高。

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(收稿日期:2021-10-26 本文編輯:呂寧)

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更新日期/Last Update: 1900-01-01