摘要
目的探讨全髋关节置换术后股骨假体周围骨折的具体病因及其治疗方法、效果。方法方便选取2012年2月—2015年2月该院收治的24例全髋关节置换术后股骨假体周围骨折患者,随机分为观察组和对照组,各12例。观察组按照Vancouver分型确定不同的治疗方法,对照组采用形状记忆合金环抱器内固定治疗,比较两组的治疗效果。结果观察组患者骨折全部愈合,髋关节Harris评分(78.24±5.62)分,患肢负重恢复时间为(4.61±1.28)个月,愈合时间为(12.36±2.36)个月,术后患侧肢体与对侧相比缩短(0.58±0.21)cm,均明显优于对照组,差异有统计学意义(P<0.05)。结论全髋关节置换术后股骨假体周围骨折致病原因,临床治疗应依据患者的具体情况、现实诉求及Vancouver分型选择合适的治疗方案,以获得理想的疗效。
Objective To investigate the cause and treatment of femoral prosthesis fracture after total hip arthroplasty.Methods From February 2012 to February 2015 in our hospital convenient selection 24 cases of total hip replacement patients were randomly divided into observation group and control group, 12 cases in each group. In the observation group, according to the Vancouver typing method, the control group was treated with shape memory alloy embracing fixator, and the treatment effect was compared between the two groups. Results In the observation group, the patients with fracture healing,Harris hip score（78.24 ± 5.62）points, limb weight recovery time（4.61±1.28）months. The healing time was（12.36±2.36）months, postoperative limb shortening compared with the contralateral side（0.58 ±0.21）cm,the difference was statistically significant（P〈0.05）. Conclusion The causes of periprosthetic femoral fractures after total hip arthroplasty, should be based on the specific circumstances of patients, and the realistic demands of Vancouver types to choose the appropriate treatment of clinical treatment, in order to get the desired effect.
出处
《中外医疗》
2017年第1期45-47,共3页
China & Foreign Medical Treatment
关键词
全髋关节置换术
股骨假体周围骨折
治疗选择
Total hip arthroplasty
Femoral prosthesis around fracture
Treatment choice
