摘要
Abstract
Objective To explore the surgical method and clinical efficacy of hip arthroplasty in the treatment of old non-u-nion femoral intertrochanteric fractures.Methods Fifteen unoperated patients suffering from old non-union femoral in-tertrochanteric fractures from Feburary 2013 to Feburary 2023 were treated with hip arthroplasty including 9 males and 6 fe-males,aged 71 to 82 years old.Eleven cases detected deep venous thrombosis(DVT),9 cases received lower vena cava filter im-plantation.The operation time,intraoperative blood loss,intraoperative and postoperative blood transfusion,postoperative hemoglobin content,procedure-related complications,and the range of motion of hip flexion,abduction motion were recorded.The degree of hip pain was evaluated using a visual analogue scale(VAS).The hip Harris scores were used to evaluated the clini-cal efficacy.Results All patients were followed up for 3 to 12 months.The intraoperative blood loss was 200 to 400 ml,intraopera-tive blood transfusion was 0 to 400 ml,and the operation time was 40 to 90 min.All 15 patients had different degrees of anemia af-ter surgery,the 3 days postoperative hemoglobin was 72 to 97 g·L-1,and the postoperative transfusion volume was 0 to 400 ml.All patients had no periprosthetic infection,poor incision healing,lower limb deep vein thrombosis,and cerebral infarction.One case occurred in the early postoperative period,which disappeared from 4 to 5 days after operation,and there was no further revision at the last follow-up.The VAS was 6 to 7 points before operation and 2 to 4 points at latest follow-up;the hip Harris score was 2 to 13 points before operation and 73 to 84 points at latest follow-up.Conclusion The unoperated patients of old non-union femoral in-tertrochanteric fractures had significant clinical and imaging characteristics.Hip arthroplasty combined with or without femoral calcar reconstruction in the treatment of old non-union femoral intertrochanteric fractures had the advantages of relatively simple manipulation,rigid fixation,relatively safe operation,and relatively exact efficacy.关键词
股骨转子间骨折/陈旧性骨折/髋关节置换术/骨质疏松Key words
Femoral intertrochanteric fractures/Old fractures/Hip arthroplasty/Osteoporosis分类
医药卫生
