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时间:2020-05-24
《记忆合金抓握式接骨板结合自体髂骨植骨治疗Vancouver B_1型股骨假体周围骨折.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、华西医学2012,27(12)WestChinaMedicalJournal,Vo1.27。No.12Dec.2012l849论著记忆合金抓握式接骨板结合自体髂骨植骨治疗VancouverB1型股骨假体周围骨折李程旭,范洪武,高天敏【摘要】目的探讨人工髋关节置换术后VancouverB型股骨假体周围骨折的治疗方法。方法2006年4月一2011年2月采用记忆合金抓握式接骨板固定结合自体髂骨植骨治疗6例VancouverB型股骨假体周围骨折。其中男2例,女4例;年龄55~78岁,平均68.5岁。6例均为初次行人工
2、关节置换术后6个月~3年,平均18.4个月发生假体周围骨折;骨折至手术时间为3~6d,平均4.2d。结果术后切口均I期愈合,无深静脉血栓形成、肺部感染、肺栓塞等并发症发生。6例均获随访,随访时间13个月~4年,平均28.6个月。x线片示骨折全部愈合,愈合时间12~20周,平均14.8周。末次随访时Harris评分76~93分,平均83.6分;获优3例,良3例。无1例出现接骨板折断、松动,骨折再移位、骨不连、股骨假体松动等并发症。结论记忆合金抓握式接骨板结合自体髂骨植骨治疗VancouverB,型股骨假体周围骨
3、折具有固定可靠、操作简便的特点,可获满意临床疗效。【关键词】人工髋关节置换;股骨假体周围骨折;记忆合金抓握式接骨板;自体髂骨植骨【文献标识码】AUsingShapeMemoryAlloyEmbracingFixatorandSelf-iliumGraftingtoSurgicallyTreatVancouverType—B1PeriprostheticFemoralFracturesLICheng-xu.FANHong-wu.GAOTian—min.DepartmentofOrthopedicsSurgery
4、,FengduCoun~PeopleHospital,Fengdu,Chongqing408200,PR.China[Abstract]ObjectiveToexploreasurgicalmethodfortreatingVancouvertype-B1periprostheticfemoralfracturesafterartificialhipreplacementsurgery.MethodsBetweenApril2006andFebruary2011,wetreated6casesofVancou
5、vertype·Blperiprostheticfemoralfractureswithshapememoryalloyembracingfixatorandself-iliumgraftinginOurhospita1.Therewere2malesand4females,agedbetween55and78years,averagingat68.5.Allsixpatientsunderwentartificialhipreplacementsurgeryforthefirsttime.Thetimebe
6、tweenthereplacementsurgeryandthedevelopmentofperiprostheticfemoralfracturesrangedfrom6monthsto8yearswithanaverageof18.4months.Andthetimebetweenthefracturesandsurgeryforthefracturesrangedfrom3to6dayswithanaverageof4.2days.ResultsAllfractureswereprovedtobehea
7、ledwithnocomplicationssuchasdeepveinthrombosis,lunginfection,orlungembolism.Allsixpatientswerefollowedupfor13monthsto4years,averaging28.6months.Xrayexaminationshowedthatallfractureswerehealedwithin12to20weeks,averaging14.8weeks.TheHarrisscorewasbetween76and
8、93,withanaverageof83.6,andtherewerethreecasesgettinganexcellentandtheotherthreeagoodoutcome.Noboneplatebreakingorloosening,fracturere—shifting,bonenonunion,orperioprostheticfemorallooseningoccurred.Con
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