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股骨颈骨折全髋关节置换术后股骨近端形态变化 被引量:6

Proximal femoral geometry changes after femoral neck fracture treated with total hip arthroplasty
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摘要 目的 :观察全髋关节置换(THA)治疗股骨颈骨折及股骨头坏死术后股骨近端形态改变,分析是否存在差异及其表现形式。方法:2014年1月至12月同一手术组连续股骨颈骨折和股骨头坏死行THA治疗的病例进行对比分析,其中股骨颈骨折患者22例,男11例,女11例,年龄44~83岁,平均(66.18±11.47)岁;股骨头坏死患者23例,男12例,女11例,年龄19~68岁,平均(51.91±11.76)岁。测量THA术后股骨高度,Offset,截骨位置和调整方式,进行统计分析。结果:全部患者获得测量,行THA治疗后,股骨颈骨折病例较股骨头坏死病例有更低的股骨高度,更小的Offset,更低的截骨位置,并发现了3种低位截骨后的调整方式。结论 :股骨颈骨折行THA手术,有产生低截骨、较小Offset的可能,因低位截骨而进行的调整可能会对近远期疗效产生不良影响。 Objective:To observe the changes of proximal femoral geometry after femoral neck fracture treated with THA,analyze the existent of differences and their manifestation. Methods:All patients of femoral neck fracture(FNF) and osteonecrosis of femoral head(ONFH) were treated with THA by the same operating team from January to December of 2014,including 22 patients with FNF(11 males and 11 females,with age from 44 to 83 years old(means 66.18±11.47) and 23 patients with ONFH(12 males and 11 females,with age from 19 to 68 years old(means 51.91±11.76). After THA,height of femorals,offsets,osteotomy position and adjusting modes were measured and the statistic analysis was done. Results:After THA,all patients were measured. Decreased femoral height,offsets and lower osteotomy positions were found in patients with FNF than those with ONFH,and 3 kinds of adjustments because of lower positional osteotomy were found. Conclusion:After THA,lower-positional osteotomy and decreased femoral offsets may occur on patients with FNF. The adjustments caused by lower positional osteotomy may lead to negative results.
出处 《中国骨伤》 CAS 2015年第9期788-791,共4页 China Journal of Orthopaedics and Traumatology
关键词 关节成形术 置换 股骨颈骨折 骨折固定术 外科手术 Arthroplasty replacement hip Femoral neck fractures Fracture fixation internal Surgical proce-dures operative
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