中国实用医刊
中國實用醫刊
중국실용의간
Chinese Journal of Practical Medicine
2015年
24期
14-15
,共2页
髋关节置换术%股骨假体周围骨折%治疗
髖關節置換術%股骨假體週圍骨摺%治療
관관절치환술%고골가체주위골절%치료
Total hip arthroplasty%Periprosthetic femoral fracture%Treatment
目的 探讨髋关节置换术中Mallory Ⅲ型股骨假体周围骨折的产生原因及处理方法,评价术后近期临床结果.方法 对2010年1月至2013年3月河南省人民医院47例(采用Mallory分型,其中Mallory Ⅰ型骨折36例,Mallory Ⅱ型7例,Mallory Ⅲ型4例)髋关节置换术中出现的股骨假体周围骨折患者的临床资料进行回顾性分析.4例Mallory Ⅲ型骨折中3例使用多条钢丝捆扎,1例更换长柄假体联合钢丝捆扎固定.术后平均随访18(11 ～24)个月,对患者进行X线、疼痛及Harris评分等评估.结果 本研究股骨假体周围骨折47例,发生率为4.2％.Mallory Ⅲ骨折4例,发生率为0.35％.4例患者均获随访,骨折均愈合,未发现假体下沉、松动,Harris评分平均91.5分.结论 Mallory Ⅲ型假体骨折术中正确处理可获得很好术中稳定性和近期临床疗效.
目的 探討髖關節置換術中Mallory Ⅲ型股骨假體週圍骨摺的產生原因及處理方法,評價術後近期臨床結果.方法 對2010年1月至2013年3月河南省人民醫院47例(採用Mallory分型,其中Mallory Ⅰ型骨摺36例,Mallory Ⅱ型7例,Mallory Ⅲ型4例)髖關節置換術中齣現的股骨假體週圍骨摺患者的臨床資料進行迴顧性分析.4例Mallory Ⅲ型骨摺中3例使用多條鋼絲捆扎,1例更換長柄假體聯閤鋼絲捆扎固定.術後平均隨訪18(11 ～24)箇月,對患者進行X線、疼痛及Harris評分等評估.結果 本研究股骨假體週圍骨摺47例,髮生率為4.2％.Mallory Ⅲ骨摺4例,髮生率為0.35％.4例患者均穫隨訪,骨摺均愈閤,未髮現假體下沉、鬆動,Harris評分平均91.5分.結論 Mallory Ⅲ型假體骨摺術中正確處理可穫得很好術中穩定性和近期臨床療效.
목적 탐토관관절치환술중Mallory Ⅲ형고골가체주위골절적산생원인급처리방법,평개술후근기림상결과.방법 대2010년1월지2013년3월하남성인민의원47례(채용Mallory분형,기중Mallory Ⅰ형골절36례,Mallory Ⅱ형7례,Mallory Ⅲ형4례)관관절치환술중출현적고골가체주위골절환자적림상자료진행회고성분석.4례Mallory Ⅲ형골절중3례사용다조강사곤찰,1례경환장병가체연합강사곤찰고정.술후평균수방18(11 ～24)개월,대환자진행X선、동통급Harris평분등평고.결과 본연구고골가체주위골절47례,발생솔위4.2％.Mallory Ⅲ골절4례,발생솔위0.35％.4례환자균획수방,골절균유합,미발현가체하침、송동,Harris평분평균91.5분.결론 Mallory Ⅲ형가체골절술중정학처리가획득흔호술중은정성화근기림상료효.
Objective To investigate the main causes, precaution and treatment of Mallory Ⅲ type intraoperative perprosthetic femur fractures in THA, and evaluate the clinical and radiographic short-term result.Methods Retrospective study was made on 47 patients with intraoperative periprosthetic femur fractures from January 2010 to March 2013.There were 36 cases of Mallory Ⅰ type,7 cases of Mallory Ⅱ type,and 4 cases of Mallory Ⅲ type in this study.Among 4 cases,which were followed-up 11 to 24 months with an average of 18 months.Harris score, pain intensity, and radiographic assessment were used to evaluate the therapeutic effect.Results Intraoperative femur fracture occurred in 47 cases(4.2％) of 1119 hips.There were 4 Mallory Ⅲ type fractures.All patients were followed up, ranged from 11 to 24 months(mean,18 months).All of the fracture was healed up, and no stems were loosened.The mean of harris score at the last follow-up was 91.5.Conclusions The intraoperative of proximal femoral fracture with right method in total hip arthroplasty can improve the stability of the femoral stem.The clinical and radiographic results is satisfactory up to short-term follow-up.
