中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
19期
112-113
,共2页
股骨假体周围骨折%髋关节置换%骨折愈合
股骨假體週圍骨摺%髖關節置換%骨摺愈閤
고골가체주위골절%관관절치환%골절유합
Periprosthetic femoral fractures%Hip replacement%Fracture healing
目的：探讨髋关节置换术后股骨假体周围骨折的治疗效果。方法：选择54例行髋关节置换术后出现股骨假体周围骨折的患者，按随机数字表法分为观察组与对照组，观察组27例行锁定钢板内固定治疗，对照组27例行合金记忆形状环抱器内固定治疗。结果：治疗后，两组患者均随访9~22个月，观察组骨折愈合时间9~22个月，患侧肢体的负重恢复时间4~7.8个月，髋关节功能评分（84.67±8.96）分；对照组骨折愈合时间12~24个月，患侧肢体的负重恢复时间6~10.5个月，髋关节功能评分（72.12±8.78）分，差异有统计学意义（P<0.05）。结论：髋关节置换术后给予患者行锁定钢板内固定治疗股骨假体周围骨折效果显著，术后髋关节功能评分优于合金记忆形状环抱器内固定，值得临床推广应用。
目的：探討髖關節置換術後股骨假體週圍骨摺的治療效果。方法：選擇54例行髖關節置換術後齣現股骨假體週圍骨摺的患者，按隨機數字錶法分為觀察組與對照組，觀察組27例行鎖定鋼闆內固定治療，對照組27例行閤金記憶形狀環抱器內固定治療。結果：治療後，兩組患者均隨訪9~22箇月，觀察組骨摺愈閤時間9~22箇月，患側肢體的負重恢複時間4~7.8箇月，髖關節功能評分（84.67±8.96）分；對照組骨摺愈閤時間12~24箇月，患側肢體的負重恢複時間6~10.5箇月，髖關節功能評分（72.12±8.78）分，差異有統計學意義（P<0.05）。結論：髖關節置換術後給予患者行鎖定鋼闆內固定治療股骨假體週圍骨摺效果顯著，術後髖關節功能評分優于閤金記憶形狀環抱器內固定，值得臨床推廣應用。
목적：탐토관관절치환술후고골가체주위골절적치료효과。방법：선택54례행관관절치환술후출현고골가체주위골절적환자，안수궤수자표법분위관찰조여대조조，관찰조27례행쇄정강판내고정치료，대조조27례행합금기억형상배포기내고정치료。결과：치료후，량조환자균수방9~22개월，관찰조골절유합시간9~22개월，환측지체적부중회복시간4~7.8개월，관관절공능평분（84.67±8.96）분；대조조골절유합시간12~24개월，환측지체적부중회복시간6~10.5개월，관관절공능평분（72.12±8.78）분，차이유통계학의의（P<0.05）。결론：관관절치환술후급여환자행쇄정강판내고정치료고골가체주위골절효과현저，술후관관절공능평분우우합금기억형상배포기내고정，치득림상추엄응용。
Objective:To discuss therapeutic effect of around the femoral prosthesis fracture after hip replacement.Method:To choose 54cases of patients hip in patients with femoral fracture around the prosthesis,according to random number table method divided into observation group and control group,the observation group and routine locking plate internal fixation treatment,control group and regular shape memory alloy embracing internal fixation treatment. Result:The two groups of patients were followed up for 9-22 months in after treatment,the observation group fracture healing time was 9-22 months,the weight recovery time of the affected limb 4-7.8 months,hip score(84.67±8.96),and control group with fracture healing time was 12-24 months,the weight recovery time of the affected limb 6-10.5 months hip score(72.12±8.78),the difference was statistically significant(P<0.05). Conclusion:The hip arthroplasty give to patients locking plate fixation of periprosthetic femoral fractures significant postoperative hip score better than the alloy shape memory embracing fixed,is worthy to carry out the promotion of clinical application.
