大粗隆钢板结合异体皮质骨板治疗vancouver+b3型股骨假体周围骨折

大粗隆钢板结合异体皮质骨板治疗vancouver+b3型股骨假体周围骨折

ID:34098070

大小:3.71 MB

页数:38页

时间:2019-03-03

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1、山东大学硕士学位论文术后患肢缩短数值减小有统计学意义(P<0.05)。至随访结束,假体稳定,异体骨板愈合良好。本组有9例患者出现术侧股外侧局限性疼痛,给予对症处理后,症状明显好转。结论应用大粗隆钢板结合异体骨板对VancouverB3型股骨假体周围骨折进行人工髋关节翻修手术操作简便,并发症少,骨折愈合率高,术后髋关节功能恢复良好,短期临床效果满意。关键词:髋关节置换;翻修;假体周围骨折;骨移植;股骨山东大学硕士学位论文VancouverB3typeperiprostheticproximalfemurfracturestreatedwithgreat

2、ertrochanterreattachmentdeviceandcorticalObjectivestrutboneallograftPostgraduateWangChaoTutorProf.ZhangWeiSpecialtyOrthopaedicsABSTRACTToreviewtherapeuticeffectoftheVancouverB3typeperiprostheticproximalfemurfracturestreateding、机thgreatertrochanterreattachmentdevice(GTR)andcorti

3、calstrutbonegraftintherevisionofprosthesisoftotalhiparthroplasty.MethodsAtotalof26patientsfromJanuary2006toJanuary201wereselected,including5malesand21females,aged55-79years,meanaged63.52years.AllthecasesweretreatedbyZimmergreatertrochanterreattachmentdevice(GTR),andZimmerWagner

4、uncementedlongstem.Comprehensiveexaminationbeforeoperation,eliminateoperationcontraindication,patientswereevaluatedoperationtolerance.AccordingtotheX-rayandCTwerepreoperativetemplating,selectproperprosthesisandallogenousboneplate.Operatingcarefully,properlyhandlethefemoraldefec

5、t,accordingtothestepsofplacingprosthesis,greatertrochanterplateandallograftofcorticalboneplates.Aftertakingeffectivemeasurestopreventdeepveinthrombosis,andfunctionalexercisemoderatelyHarrisscorewasdevelopedbeforeandaftertheoperation.TheVASscoreforpatientswithpostoperativeweight

6、·bearinglimbpainwereevaluatedbynumericalmeasurement;preoperativeandpostoperativelimbshortening,assessthesituationoflimbrestorationoflimblength;Prosthesisstabilitywasassessedusingdigitalradiography.ResuitsAllthepatientswerefollowed—upforaveraged25months(12-35months)after山东大学硕士学位

7、论文operation.Everypatientreachedunion,andtherewasnoinfection,loose,nonunion,malunion.TheHarrisscorewas(35.264-3.35)beforeopermion,whichwasimprovedto(84.704-6.21),andthegood-to-excellentrateWas80.77%(excellent5cases,good16cases,average5cases).Patientswithpostoperativeweight-beari

8、ngwalking,theVASscorewas0-3points,anaverageof1.82point

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