中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2014年
13期
1988-1993
,共6页
刘燚%严建军%崔胜宇%崔志明
劉燚%嚴建軍%崔勝宇%崔誌明
류일%엄건군%최성우%최지명
植入物%骨植入物%Synthes线缆系统%Vancouver分型%B1型股骨假体周围骨折%Harrris评分%髋关节置换
植入物%骨植入物%Synthes線纜繫統%Vancouver分型%B1型股骨假體週圍骨摺%Harrris評分%髖關節置換
식입물%골식입물%Synthes선람계통%Vancouver분형%B1형고골가체주위골절%Harrris평분%관관절치환
femur%periprosthetic fractures%arthroplasty,replacement,hip%internal fixators
背景：近年来股骨假体周围骨折已经成为是全髋关节置换后最常见的并发症之一，Vancourver B1型骨折因为股骨柄假体稳定同时无明显骨缺损，目前多主张积极行内固定治疗。<br> 目的：探讨Synthes线缆系统置入内固定治疗全髋关节置换后Vancouver B1型股骨假体周围骨折的临床效果。<br> 方法：2009年5月至2012年10月南通市第一人民医院骨科采用Synthes线缆系统置入内固定治疗18例全髋关节置换后Vancouver B1型股骨假体周围骨折患者，女10例，男8例；年龄45-80岁，平均(62.67±8.67)岁。治疗后第1，3，6个月复诊，按Harris评分标准评定髋关节功能，满分为100分，≥90分为优，80-89分为较好，70-79分为良，<70分为差。<br> 结果与结论：18例患者均获得随访，18例获得随访6-43个月，患者平均骨折愈合时间为(19.06±4.04)周。18例治疗前Harris评分为(22.3±3.6)分，治疗后第1，3，6个月髋关节Harris评分均较治疗前显著提高(P<0.01)，髋关节功能恢复良好。提示Synthes线缆系统能最大程度恢复股骨正常解剖结构，操作简便，损伤小，稳定性强，安全性高，是治疗Vancouver B1型股骨假体周围骨折的理想方法。
揹景：近年來股骨假體週圍骨摺已經成為是全髖關節置換後最常見的併髮癥之一，Vancourver B1型骨摺因為股骨柄假體穩定同時無明顯骨缺損，目前多主張積極行內固定治療。<br> 目的：探討Synthes線纜繫統置入內固定治療全髖關節置換後Vancouver B1型股骨假體週圍骨摺的臨床效果。<br> 方法：2009年5月至2012年10月南通市第一人民醫院骨科採用Synthes線纜繫統置入內固定治療18例全髖關節置換後Vancouver B1型股骨假體週圍骨摺患者，女10例，男8例；年齡45-80歲，平均(62.67±8.67)歲。治療後第1，3，6箇月複診，按Harris評分標準評定髖關節功能，滿分為100分，≥90分為優，80-89分為較好，70-79分為良，<70分為差。<br> 結果與結論：18例患者均穫得隨訪，18例穫得隨訪6-43箇月，患者平均骨摺愈閤時間為(19.06±4.04)週。18例治療前Harris評分為(22.3±3.6)分，治療後第1，3，6箇月髖關節Harris評分均較治療前顯著提高(P<0.01)，髖關節功能恢複良好。提示Synthes線纜繫統能最大程度恢複股骨正常解剖結構，操作簡便，損傷小，穩定性彊，安全性高，是治療Vancouver B1型股骨假體週圍骨摺的理想方法。
배경：근년래고골가체주위골절이경성위시전관관절치환후최상견적병발증지일，Vancourver B1형골절인위고골병가체은정동시무명현골결손，목전다주장적겁행내고정치료。<br> 목적：탐토Synthes선람계통치입내고정치료전관관절치환후Vancouver B1형고골가체주위골절적림상효과。<br> 방법：2009년5월지2012년10월남통시제일인민의원골과채용Synthes선람계통치입내고정치료18례전관관절치환후Vancouver B1형고골가체주위골절환자，녀10례，남8례；년령45-80세，평균(62.67±8.67)세。치료후제1，3，6개월복진，안Harris평분표준평정관관절공능，만분위100분，≥90분위우，80-89분위교호，70-79분위량，<70분위차。<br> 결과여결론：18례환자균획득수방，18례획득수방6-43개월，환자평균골절유합시간위(19.06±4.04)주。18례치료전Harris평분위(22.3±3.6)분，치료후제1，3，6개월관관절Harris평분균교치료전현저제고(P<0.01)，관관절공능회복량호。제시Synthes선람계통능최대정도회복고골정상해부결구，조작간편，손상소，은정성강，안전성고，시치료Vancouver B1형고골가체주위골절적이상방법。
BACKGROUND:Recently, periprosthetic femoral fractures have been a common complication after total hip replacement. Vancouver type B1 periprosthetic femoral fractures commonly received internal fixation due to stable femoral prosthesis and less bone defects. <br> OBJECTIVE:To evaluate the effect of the application of Synthes cable system in the treatment of Vancouver type B1 periprosthetic femoral fractures after total hip replacement. <br> METHODS:From May 2009 to October 2012, 18 patients with Vancouver type B1 periprosthetic femoral fractures were treated with Synthes cable system in the Department of Orthopedics, Nantong First People’s Hospital. There were 8 males and 10 females with an average age of (62.67±8.67) years ranging 45 to 80 years. They received a further consultation at 1, 3 and 6 months after treatment. The function of hip joint was evaluated by Harrris evaluation standard:ful marks, 100 points, ≥ 90 points, excellent;80-89 points, better;70-79 points, good;<70 points, poor. <br> RESULTS AND CONCLUSION:Al 18 patients were fol owed up for 6 to 43 months. Mean healing period was (19.06±4.04) weeks. Harris score was (22.3±3.6) points before treatment in 18 cases. Harris score was higher significantly at 1, 3 and 6 months after treatment compared with that before treatment (P<0.01), and the recovery of hip function was good. Results indicated that Synthes cable system could help to restore the normal anatomic structure of femur in the greatest extent, showing simple operation, little injury, high stability and high safety. It is an ideal method for treating Vancouver type B1 periprosthetic femoral fractures.
