中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
7期
36-37
,共2页
于斌%刘彬%安文秀%李卫兵%孔庆迎
于斌%劉彬%安文秀%李衛兵%孔慶迎
우빈%류빈%안문수%리위병%공경영
股骨粗隆部骨折%内固定%失败
股骨粗隆部骨摺%內固定%失敗
고골조륭부골절%내고정%실패
Femoral trochanteric fracture%Internal fixation%Failure
目的:研究和评估再次手术植骨内固定在股骨粗隆部骨折内固定失败病例中的应用疗效。方法对2007~2012年本院收治的21例共21部位股骨粗隆部骨折内固定失败病例采取再次切开复位植骨内固定术,并进行严密的临床随访。结果到访21例,其中20例达到骨愈合(95.2%),其中15例骨折处没有疼痛,5例骨折处有轻微疼痛,所有患者均可下床活动。术后Harris评分平均89.2分。结论如果病例选择合适,操作恰当,采用再次手术植骨内固定在股骨粗隆部骨折内固定失败病例中,骨折愈合率高且髋关节功能恢复较好,是理想的选择之一。
目的:研究和評估再次手術植骨內固定在股骨粗隆部骨摺內固定失敗病例中的應用療效。方法對2007~2012年本院收治的21例共21部位股骨粗隆部骨摺內固定失敗病例採取再次切開複位植骨內固定術,併進行嚴密的臨床隨訪。結果到訪21例,其中20例達到骨愈閤(95.2%),其中15例骨摺處沒有疼痛,5例骨摺處有輕微疼痛,所有患者均可下床活動。術後Harris評分平均89.2分。結論如果病例選擇閤適,操作恰噹,採用再次手術植骨內固定在股骨粗隆部骨摺內固定失敗病例中,骨摺愈閤率高且髖關節功能恢複較好,是理想的選擇之一。
목적:연구화평고재차수술식골내고정재고골조륭부골절내고정실패병례중적응용료효。방법대2007~2012년본원수치적21례공21부위고골조륭부골절내고정실패병례채취재차절개복위식골내고정술,병진행엄밀적림상수방。결과도방21례,기중20례체도골유합(95.2%),기중15례골절처몰유동통,5례골절처유경미동통,소유환자균가하상활동。술후Harris평분평균89.2분。결론여과병례선택합괄,조작흡당,채용재차수술식골내고정재고골조륭부골절내고정실패병례중,골절유합솔고차관관절공능회복교호,시이상적선택지일。
Objective To research and evaluate curative effect of reoperation for bone grafting in internal fixation of femoral trochanteric fracture. Methods From 2007 to 2012, admitted 21 patients in our hospital a total of 21 cases of internal fixation failure of femoral trochanteric fractures again, open reduction and internal fixation with bone graft, and close clinical follow-up. Results Visited 21 cases, of which 20 cases achieved bone healing (95.2%), of which 15 were fractures without pain, 5 cases of fracture of mild pain, all the patients bed. For Harris after scoring an average of 89.2 points. Conclusion If case-choosing the right operation properly, bone grafting and internal fixation in the reoperation cases of internal fixation failure of femoral trochanteric fracture, high rates of fracture healing and functional recovery of hip is better, and it is one of the ideal choices.