重庆医学
重慶醫學
중경의학
CHONGQING MEDICAL JOURNAL
2014年
34期
4623-4625
,共3页
李宏%蔡福金%孙子杰%朱建平
李宏%蔡福金%孫子傑%硃建平
리굉%채복금%손자걸%주건평
关节成形术,置换,髋%骨折%髋关节置换%髋关节翻修%记忆钛合金环抱器
關節成形術,置換,髖%骨摺%髖關節置換%髖關節翻脩%記憶鈦閤金環抱器
관절성형술,치환,관%골절%관관절치환%관관절번수%기억태합금배포기
arthroplasty,replacement,hip%fracture,bone%hip revision%memory titanium alloy surrounded
目的:探索记忆钛合金环抱器在髋关节置换术后 Vancouver B型股骨假体周围骨折治疗中的应用。方法回顾性分析2008年1月至2013年6月该院收治的21例髋关节置换术后发生Vancouver B型股骨假体周围骨折并使用记忆钛合金环抱器治疗的患者。随访时间6~60个月,平均随访时间25个月。术前、术后对患者进行 Harris评分。结果21例患者均获得随访,骨折骨性愈合时间3.0~6.0个月,平均4.3个月。术前髋关节 Harris 评分(58.00±13.40)分,术后髋关节 Harris 评分(82.00±8.31)分,髋关节功能较术前均得到明显改善。所有患者均无假体松动、感染、内固定断裂、骨折不愈合等不良事件发生。结论记忆钛合金环抱器在髋关节置换术后 Vancouver B型股骨假体周围骨折的治疗中疗效肯定,具有广泛的应用前景。
目的:探索記憶鈦閤金環抱器在髖關節置換術後 Vancouver B型股骨假體週圍骨摺治療中的應用。方法迴顧性分析2008年1月至2013年6月該院收治的21例髖關節置換術後髮生Vancouver B型股骨假體週圍骨摺併使用記憶鈦閤金環抱器治療的患者。隨訪時間6~60箇月,平均隨訪時間25箇月。術前、術後對患者進行 Harris評分。結果21例患者均穫得隨訪,骨摺骨性愈閤時間3.0~6.0箇月,平均4.3箇月。術前髖關節 Harris 評分(58.00±13.40)分,術後髖關節 Harris 評分(82.00±8.31)分,髖關節功能較術前均得到明顯改善。所有患者均無假體鬆動、感染、內固定斷裂、骨摺不愈閤等不良事件髮生。結論記憶鈦閤金環抱器在髖關節置換術後 Vancouver B型股骨假體週圍骨摺的治療中療效肯定,具有廣汎的應用前景。
목적:탐색기억태합금배포기재관관절치환술후 Vancouver B형고골가체주위골절치료중적응용。방법회고성분석2008년1월지2013년6월해원수치적21례관관절치환술후발생Vancouver B형고골가체주위골절병사용기억태합금배포기치료적환자。수방시간6~60개월,평균수방시간25개월。술전、술후대환자진행 Harris평분。결과21례환자균획득수방,골절골성유합시간3.0~6.0개월,평균4.3개월。술전관관절 Harris 평분(58.00±13.40)분,술후관관절 Harris 평분(82.00±8.31)분,관관절공능교술전균득도명현개선。소유환자균무가체송동、감염、내고정단렬、골절불유합등불량사건발생。결론기억태합금배포기재관관절치환술후 Vancouver B형고골가체주위골절적치료중료효긍정,구유엄범적응용전경。
Objective To investigate the applicative effect of memory titanium alloy embracing fixator on Vancouver B peripros-thetic femoral fracture after hip arthroplasty.Methods A retrospective analysis was done on 2 1 patients with Vancouver B periprosthetic femoral fracture after hip arthroplasty and treated with memory titanium alloy embracing fixator between January 2008 to June 2013 in the hospital.All patients were followed 6 months to 60 months,and the mean follow-up was 25 months.All patients were estimated by Harris score.Results All the cases received follow-up.Healing time of fracture was 3.0-6.0 months, average healing time of fracture was 4.3 months.preoperative Harris score was(58.00±13.40)points,postoperative Harris score was(82.00±8.31)points.Hip joint function was superior to pre-operation apparently.No prosthesis loosening or nonunion or in-fection or internal fixation fracture or other complication occurred.Conclusion Memory titanium alloy embracing fixator is a relia-ble method for Vancouver B periprosthetic femoral fracture after hip arthroplasty,and it has a wide application prospect.