北京大学学报（医学版）2012，Vol.44Issue(6)：874-877,4.DOI:10.3969/j.issn.1671-167X.2012.06.014
髋关节置换术后股骨假体周围骨折的手术治疗
Surgical treatment of periprosthetic femur fracture after hip arthroplasty
摘要
Abstract
Objective: To investigate the surgical treatment results of periprosthetic femur fracture after hip arthroplasty. Methods; In the study, 10 patients from Oct. 2006 to Jan. 2012 were treated surgically according to Vancouver classification, and their fracture union, hip function, pain in fracture site and lower extremity length were evaluated postoperatively. Results: All the patients had full follow-up for 6 to 69 months (mean time: 35. 1 months). All fractures were united well with good alignment and no prosthesis loosing or internal fixation failure was discovered. Harris scores to assess hip function were 71 to 90 (mean; 79. 8) and the excellent and good rate was 70%. VAS scores to evaluate pain in fracture site when walking were 0 to 3 ( mean; 1.4). The lengths of injured lower extremity were shorter hy 0 to 2. 5 cm than those of the contralateral side pre-operatively [mean (1.6 ±0. 9) cm]. The shortened lengths were reduced to 0 to 1.8 cm post-operatively [mean (0. 6 ±0. 6) cm] , which were statistically different from those of pre-operation (P= 0.002). Conclusion; Although treatment of periprosthetic femur fracture after hip arthroplasty is a hard work, we can make individual therapy regiment based on the patient's age, general condition, function demand and Vancouver classification. Surgical treatment can bring good results.关键词
关节成形术,置换,髋/假体周围骨折/股骨/外科手术Key words
Arthroplasty, replacement, hip/ Periprosthetic fractures/ Femur/ Surgical procedures, operative分类
医药卫生引用本文复制引用
芦浩,党育,杨明,姜保国,付中国,张殿英,王天兵,徐海林,薛峰,陈建海,张培训..髋关节置换术后股骨假体周围骨折的手术治疗[J].北京大学学报（医学版）,2012,44(6):874-877,4.基金项目
卫生公益型行业科研专项(201002014)、"十一五"国家科技支撑计划重点项目(2007BAI04B00)、国家重点基础研究发展计划(973计划,2005CB522604)、北京市科技新星计划(A-2008-10)、新世纪优秀人才支持计划项目(BMU20110270)、北京市科技支撑、市政府重点工作项目(Z101107052210001)资助 （201002014）
