临床骨科杂志2016，Vol.19Issue(5)：565-566,2.DOI:10.3969/j.issn.1008-0287.2016.05.021
生物型加长柄髋关节置换治疗高龄不稳定型股骨转子间骨折
Cementless long-stem hip prosthetic replacement for elderly patients with unstable femoral in-tertrochanteric fracture
陈校明 1刘忠 1唐新桥 1朱宝玉 1梁培雄1
作者信息
- 1. 湘潭市中心医院骨科，湖南 湘潭 411100
- 折叠
摘要
Abstract
Objective To investigate the clinical effect of cementless long-stem hip prosthetic replacement for elderly patients with unstable femoral intertrochanteric fractures. Methods Fifty-one cases with unstable femoral intertro-chanteric fractures were treated by cementless long-stem hip prosthetic replacement via hip joint lateral incision anteri-or approach. Results All patients were successfully operated, acute deep venous thrombosis occurred in 2 cases af-ter operation,they were returned to normal after symptomatic treatment. 2 patients died,1 patient died of myocardial infarction after 6 months,1 patient died of lung infection after 10 months. Forty-nine cases were followed up for 12 ~36 months. The fracture healing time was 4~10 months after operation. There was no prosthetic dislocation, infec-tion, loosening and other complications. In 12 months postoperation, according to Harris rating scale:the clinical re-sult was evaluated as excellent in 18 cases, good in 25 cases, fair in 5 and poor in 1. The rate of excellent and good was 87. 8%. Conclusions It is a safe and effective technique to treat unstable femoral intertrochanteric fracture in elderly patients with cementless long-stem hip prosthetic replacement.关键词
股骨转子间骨折/生物型加长柄/髋关节置换/老年人Key words
femoral intertrochanteric fracture/cementless long-stem/hip replacement/aged分类
医药卫生引用本文复制引用
陈校明,刘忠,唐新桥,朱宝玉,梁培雄..生物型加长柄髋关节置换治疗高龄不稳定型股骨转子间骨折[J].临床骨科杂志,2016,19(5):565-566,2.
