摘要
目的探讨一期全髋成形术治疗不稳定粉碎性股骨转子间骨折的可行性和效果。方法 对18例股骨转子间骨折行一期全髋置换术。结果 18例经14～30个月（平均22个月）随访，根据Harris评分，平均为86分（70～95分），16例疗效为优良。除2例脑血管意外偏瘫患者需持拐行走，1例有轻微行走痛，其余患者在随访期无行走时疼痛，生活自理，无髋臼磨损及假体脱位、下沉或较大并发症发生。结论 一期全髋成形术是治疗不稳定粉碎性股骨转子间骨折的一种方法。
Objective To study the feasibility and clinical effect of total hip arthroplasty for the treatment of intertrochanteric fracture. Methods 18 cases of intertrochanteric fractures were performed total hip arthroplasty in single stage. Results All cases were followed up for 14～30 months, 22 on average. According to Harris evaluation system, the scores were 86 on average （70～95 ）. I6 cases got excellent or good outcomes. 2 cases with hemiplegia due to cerebrovascular accident required crutch support to walk, and 1 was complicated with walking pain. The others got no pain in walking and daily activities. No acetabular wear, prosthesis dislocation or sinking or other severe complication was found. Conclusions It is a kind of treatment for intertrochanteric fracture with total hip arthroplasty.
出处
《临床骨科杂志》
2006年第1期4-6,共3页
Journal of Clinical Orthopaedics
关键词
股骨转子间骨折
全髋置换
intertrochanteric fractures
total hip replacement
