摘要
目的探讨双极人工股骨头置换手术治疗高龄Evans Ⅲ、Ⅳ型股骨粗降间骨折患者的临床疗效。方法对平均手术年龄为78.6岁的26例高龄Evans Ⅲ、Ⅳ型股骨粗隆间骨折的患者采用手术置换双极人工股骨头,并且重塑股骨矩,股骨矩破坏缺损处灵活运用骨水泥弥补。结果术后随访6～48个月,根据临床综合评定标准评为优15例,良8例,可3例。结论人工股骨头置换作为内固定治疗的补充,是治疗高龄不稳定型股骨粗隆间骨折的可选方法。
Objective To explore the efficacy of bipolar femoral head replacement on Evans Ⅲ、Ⅳ intertrochanteric fracture in aged people. Methods Bipolar artificial femoral head replacement was adopted in 26 cases of Evans Ⅲ、Ⅳ intertrochanteric fracture with mean operation age of 78.6 years. Additionally, the femoral calcar was reshaped and bone cement was used flexibly for femoral calcar defect. Results All patients were followed up for 6 -48 months and obtained bony union without complication. According to the han＇ s criteria, the results were excellent in 15 cases, good in 8 and fair in 3. Conclusion Artificial femoral head replacement as supplement of the internal fixation treatment is an optional method for Evans Ⅲ、Ⅳ intertrochanteric fracture in aged people.
出处
《中国临床新医学》
2010年第9期873-874,共2页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
