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长柄双动人工股骨头置换术治疗高龄股骨转子间骨折 被引量:27

Long stem bipolar arthroplasty for elderly patients with intertrochanteric fractures
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摘要 目的探讨长柄双动人工股骨头置换术治疗股骨转子间骨折的可行性和存在的问题。方法48例70岁以上的转子间骨折患者行关节置换术,观察手术时间、出血量、Harris关节功能评分、并发症发生率。结果平均手术时间70 m in,出血量400 m l,Harris关节功能评分87分,无任何并发症发生。结论人工股骨头置换术对高龄,尤其存在严重骨折疏松的转子间骨折患者具有缩短手术时间、减少出血量、维持肢体长度及髋关节功能、避免长期卧床、降低并发症发生率等优点。 Objective To evaluate the clinical result of long stem bipolar femur prosthetic replacement for elderly patients with intertrochanteric fractures. Methods A total 48 patients of intertrochanteric fractures, at age of 70 years or above, were treated with cemented long stem bipolar femur prosthetics. The surgery time, blood loss, Harris hip score and complication rate were observed. Results The average surgery time, the blood loss, Harris hip scores of the arthroplasty were 70 minutes, 400 ml and 87ml, respectively, without any complications. Conclusion Long stem bipolar femur prosthetic replacement can gain good hip function and decrease the complications of fracture in treating intertrochanteric fractures.
出处 《中华创伤杂志》 CAS CSCD 北大核心 2006年第5期360-362,共3页 Chinese Journal of Trauma
关键词 关节成形术 置换 髋骨折 老年人 Arthroplasty, replacement, hip Hip fractures Aged
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参考文献5

  • 1朱通伯 郭世绂 等.骨科手术学(第2版)[M].北京:人民卫生出版社,1999.514.
  • 2Tronzo BG. The use of an endoprosthesis for severely comminuted trochanteric fractures. Orthop Clin North Am, 1975, 5:679-681.
  • 3Zuckerman JD, Skovron ML, Koval K J, et al. Postoperative complication and mortality associated with operative delay in elder patients who have fractures of the hip. J Bone Joint Surg (Am), 1995, 77:1551 - 1554.
  • 4Phorwh, Nathera, Tonggo, et al. Endoprothetic replacement of unstable comminuted intertrochanteric fracture in he elderly osteoporosis patient. J Trauma, 1991, 21:792 -795.
  • 5刘玉杰,卢世璧,张伯勋,王继芳.加压滑动鹅头钉治疗股骨粗隆间骨折并发症探讨[J].中华创伤杂志,1995,11(2):118-119. 被引量:17

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