中国骨伤2013，Vol.26Issue(7)：584-586,3.DOI:10.3969/j.issn.1003-0034.2013.07.013
股骨颈骨折内固定失败Ⅱ期行髋关节置换的早期疗效
Evaluation of early clinical results of two stage hip replacement after failed internal fixation for femoral neck fractures
曾智敏 1何志勇 1陶崑 1凌晶 1章军辉 1狄正林 1冯建翔 1徐荣明1
作者信息
- 1. 宁波市第六医院关节外科,浙江宁波315000
- 折叠
摘要
Abstract
Objective:To evaluate the early clinical results of two stage hip replacement after failed internal fixation for femoral neck fractures in young patients.Methods:From June 2008 to June 2010,24 patients with femoral head necrosis caused by failed internal fixation were treated with hip arthroplasty.Among them,12 patients were male and 12 patients were female,with an average age of 42.9 years old (ranged,18 to 58).According to Harris score and X-ray examination,the clinical resultwas evaluated.Results:Twenty-three cases were followed up with an average age of 34.4 months (ranged,25 to 48).After operation,1 case complicated with the dislocation of hip joint.No deep infection of hip joint,prosthetic loosing or peripheral fracture was found.The mean Harris score was 90.9±4.3,and 18 obtained excellent results,4 good and 1 fair.Conclusion:Although treatment of femoral head necrosis with two stage hip replacement after failed internal fixation is difficult during operation,its early result is satisfactory.关键词
股骨颈骨折/骨折固定,内/关节成形术,置换,髋/股骨头坏死Key words
Femoral neck fractures / Fracture fixation,internal/ Arthroplasty,replacement,hip / Femur head necrosis引用本文复制引用
曾智敏,何志勇,陶崑,凌晶,章军辉,狄正林,冯建翔,徐荣明..股骨颈骨折内固定失败Ⅱ期行髋关节置换的早期疗效[J].中国骨伤,2013,26(7):584-586,3.
