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

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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