摘要
目的 探讨老年骨质疏松性粗隆间粉碎骨折的治疗方法及疗效分析。方法 根据老年人粗隆间粉碎骨折难治性的特点,使用我们自行设计的特制人工股骨上端假体治疗骨质疏松性粗隆间粉碎骨折15例。按AO长管状骨骨折的分类属A2-3型9例,A3-3型6例。结果 随访12～24个月(平均18个月)。参照人工髋关节置换疗效评定标准,优6例,良6例,可3例,优良率80.0％。X线平片所见,假体位置良好,关节稳定,无塌陷及骨干部劈裂,无假体松动。结论 采用特制的人工股骨上端假体,设计固定大小转子的耳状结构及防旋转、防骨质疏松塌陷的套桶结构,配合应用骨水泥技术,能够最大限度保留老年骨质疏松性粗隆间粉碎骨折患者髋关节的功能,减少骨折并发症。
Objective To investigate the treatment of aged comminuted intertrochantoric fracture with osteoporosis and its curative effect. Method The custom - made prostheses of proximal femora were used in 15 cases of aged comminuted intertrochantoric fracture. According to AO classification, there were 9 cases of type A2 -3 and 6 cases of type A3 - 3. Result the patients were follow - up for 12 - 24 months ( average 18 month ) , 6 patients got excellent results and 6 patients good, 3 case fair ( according to the curative effect criterion of the hip joint prosthesis) . X - ray showed that the prostheses were in good position, the joints were stable and no split was seen in the bone. Conclusion the custom - made prosthesis of proximal femur has the ear - like structure to locate the great trochanter and lesser trochanter and the sleeve - like structure to prevent the rotation and sink within osteoporotic bone. In combination with bone cement it can conserve the function of the hip joint maximally and reduce the complications in the aged comminuted intertrochantoric fracture with osteoporosis.
出处
《中国骨肿瘤骨病》
2004年第1期10-12,共3页
Chinse Journal Of Bone Tumor And Bone Disease
