股骨近端缩短及全髋置换术治疗陈旧股骨颈骨折伴严重髋关节脱位

The methods of shorting of proximal femoral and total hip arthroplasty for old femoral neck fracture with severe hip joint dislocation

目的探讨陈旧股骨颈骨折伴严重髋关节脱位的有效治疗方法及临床疗效。方法自1996年4月采用股骨近端缩短及全髋置换术治疗7例陈旧股骨颈骨折伴严重的髋关节脱位的患者。结果7例患者平均为51岁,术后随访平均为273个月,在近期随访过程中,按Harris评分由手术前的367分增加至术后843分,髋臼及股骨柄假体位置良好,未出现假体松动和下沉,也未出现截骨处骨不愈合。结论股骨近端缩短及全髋置换术治疗陈旧股骨颈骨折伴严重髋关节脱位,近期疗效十分满意,其后期疗效有待进一步随访观察。

Objective To discuss the effective method and outcome to old femoral neck fracture with severe hip joint dislocation. Methods From April 1996, 7 cases of old femoral neck fracture with severe hip joint dislocation were treated by the shorting of posterior femoral and total hip arthroplasy. Results The average age of 7 patients was 51 years old and the mean follow up was 27 3 months.The mean Harris score was improved to 84 3 from 36 7 before operation in the latest follow up. The prothesis position of acetabular and femoral was excellent, there was no sinking or softening of artifical joint,nonunion of femoral osteotomy. Conclusion The preliminary clinical results are quite satisfactory of the shorting of posterior femoral and total hip arthroplasy to old femoral neck fracture with severe hip joint dislocation, the follow up is necessary for further long term outcome.