医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
33期
20-21
,共2页
骨水泥%双极人工股骨头置换%高龄%不稳定性%股骨转子间骨折
骨水泥%雙極人工股骨頭置換%高齡%不穩定性%股骨轉子間骨摺
골수니%쌍겁인공고골두치환%고령%불은정성%고골전자간골절
Bone cement%Bipolar artificial femoral head replacement%Elderly%Instability%Intertrochanteric fracture
目的：探讨骨水泥型双极人工股骨头置换术治疗高龄不稳定性股骨转子间骨折的临床疗效。方法2007年7月~2014年2月,采用骨水泥型双极人工股骨头置换术治疗高龄不稳定性股骨转子间骨折41例(I I型23例,IV型16例,V型2例),观察术后并发症及髋关节功能。结果手术时间56~100min,平均68.6min,术中出血约200~600ml,平均280ml；所有患者术后2~3d即扶助行器下地负重站立、行走；随访6~36个月,平均24个月,未见畸形、感染、假体松动、下沉及脱位发生,3~6个月基本恢复到伤前髋关节功能。术后6个月Har is评分院优20例,良17例,中3例,差1例；优良率90.2%。结论骨水泥型双极人工股骨头置换具有手术时间短,即刻稳定,早期下地负重,显著减少卧床并发症,关节功能迅速恢复到伤前水平等优点,对于高龄不稳定性股骨转子间骨折是比较理想的手术方式之一。
目的：探討骨水泥型雙極人工股骨頭置換術治療高齡不穩定性股骨轉子間骨摺的臨床療效。方法2007年7月~2014年2月,採用骨水泥型雙極人工股骨頭置換術治療高齡不穩定性股骨轉子間骨摺41例(I I型23例,IV型16例,V型2例),觀察術後併髮癥及髖關節功能。結果手術時間56~100min,平均68.6min,術中齣血約200~600ml,平均280ml；所有患者術後2~3d即扶助行器下地負重站立、行走；隨訪6~36箇月,平均24箇月,未見畸形、感染、假體鬆動、下沉及脫位髮生,3~6箇月基本恢複到傷前髖關節功能。術後6箇月Har is評分院優20例,良17例,中3例,差1例；優良率90.2%。結論骨水泥型雙極人工股骨頭置換具有手術時間短,即刻穩定,早期下地負重,顯著減少臥床併髮癥,關節功能迅速恢複到傷前水平等優點,對于高齡不穩定性股骨轉子間骨摺是比較理想的手術方式之一。
목적：탐토골수니형쌍겁인공고골두치환술치료고령불은정성고골전자간골절적림상료효。방법2007년7월~2014년2월,채용골수니형쌍겁인공고골두치환술치료고령불은정성고골전자간골절41례(I I형23례,IV형16례,V형2례),관찰술후병발증급관관절공능。결과수술시간56~100min,평균68.6min,술중출혈약200~600ml,평균280ml；소유환자술후2~3d즉부조행기하지부중참립、행주；수방6~36개월,평균24개월,미견기형、감염、가체송동、하침급탈위발생,3~6개월기본회복도상전관관절공능。술후6개월Har is평분원우20례,량17례,중3례,차1례；우량솔90.2%。결론골수니형쌍겁인공고골두치환구유수술시간단,즉각은정,조기하지부중,현저감소와상병발증,관절공능신속회복도상전수평등우점,대우고령불은정성고골전자간골절시비교이상적수술방식지일。
Objective To explore the ef ect of cemented femoral head replacement of comminuted unstable intetrochanteric fracture of femur in the elderly. Methods Cemented bipolar artificial femoral head replacements were used to treat 41 cases of interochanteric fracture of femur in the elderly from July 2007 to February 2014.According to Evans classification,23cases of the fracture were type II , 16cases were type IV and 2cases were type V.Har is Hip Score System and radiography were used to evaluate the clinical ef iciency. Results The operation time was 56~100min (average 68.6min),the intra-operative blood loss was 200~600 ml (average 280ml).The time of weight-bearing was 2-3day after the operation.41 patients were fol owed up for 6~36 months (average 24months).The hip joint function recovered wel in those patients.no varus,infection,loosening,dislocation was found. According to the six-month Har is hip function score,20 cases were excellent,17 good,3 fair,and 1 poor.The good rate was 90.2%. Conclusion Cemented bipolar artificial femoral head prosthetic replacement for the treatment of senile intertrochanteric fractures has many advantages,short operation time, weight-bearing activities earlier,functional recovery postoperatively, avoiding complications of bed-ridden, etc. The treatment is a bet er reasonable operation method to unstable intertrochanteric fracture of the femur in the elderly.
