中国组织工程研究与临床康复2009，Vol.13Issue(17)：3397-3400,4.DOI:10.3969/j.issn.1673-8225.2009.17.043
S-ROM型组配式股骨假体应用于高龄股骨转子间骨折17例
S-ROM prosthesis for the elderly femoral intertrochantor fracture Report of 17 cases
李瓦里 1孙波 1刘鹏 1刘世珑1
作者信息
- 1. 天津中医药大学第一附属医院骨科,天津市,300193
- 折叠
摘要
Abstract
Seventeen patients with femoral intertrochanteric fracture admitted to Department of Orthopedics, First Hospital of Tianjin University of Traditional Chinese Medicine between December 2005 and October 2008, including 6 males, 11 females, aged 81 to 97 years, were retrospectively analyzed. All fractures were caused by acute falling, including left side in 8 patients, right side in 9. According to Evans-Jensen classification, there were 2 cases of ⅡA, 10 of Ⅱ B, and 5 of Ⅲ. All patients underwent artificial femoral head replacement using S-ROM hip joint system (Depuy). The time of the operations, bleeding volumes and the days of hospitalization were recorded, and the complications and the motion of the hip joint were observed. All the operations were accomplished successfully, with the average surgery time of 61 minutes and the bleeding volume 435 mL. Two of them were away from bed in 3 days, 13 in 7 days and others were in 2 weeks. The average hospitalization was 19 days. The patients were followed-up for 13.7 months (ranging 4.5-36.0 months), postoperatively. No death or severe complications were found during hospitalization; 15 patients were recovered basically in doing daily as before injury; 1 patient had tow-grade fever for long period of time and been considered to get urinary system infection, but no severe complication developed. However, 1 patient died of myocardial infarction at 4.5 months post-replacement. The range of motion of the hip joints was 90°-110°. All patients became life-independent postoperatively except 3 patients hospitalized because of cerebral infarction and 2 moved assisted by the walker. The prosthetic appliance significantly reduced operation time and decreased bleeding; it is of clinical significance for elderly patients.关键词
S-ROM组配假体/股骨转子间骨折/并发症分类
医药卫生引用本文复制引用
李瓦里,孙波,刘鹏,刘世珑..S-ROM型组配式股骨假体应用于高龄股骨转子间骨折17例[J].中国组织工程研究与临床康复,2009,13(17):3397-3400,4.
