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骨水泥型加长柄人工髋关节置换治疗高龄股骨粗隆间骨折 被引量:5

Long-stem cemented hip prosthetic replacement for elderly patients with femoral intertrochanteric fracture
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摘要 目的探讨骨水泥型加长柄人工髋关节置换治疗高龄股骨粗隆间骨折的疗效。方法自2005年1月至2008年12月采用骨水泥型加长柄人工髋关节置换治疗高龄股骨粗隆间骨质疏松性不稳定性骨折19例。结果按Harris评分标准进行功能评定,优6例,良9例,可3例,差1例。优良率达78.9%,未出现骨折畸形,无感染、无人工关节脱位、假体松动、下沉等情况发生。结论选择骨水泥型加长柄人工髋关节置换治疗高龄股骨粗隆间骨折是一种安全有效的方法。 Objective To investigate therapeutic effect of long-stem cemented hip prosthetic replacement. Methods From January 2005 to December 2008, nineteen elderly patients with unstable femoral intertrochanteric fracture were treated with hip prosthetic replacement. Results According to Harris rating scale, the result of the treatment was evaluated as excellent in 6 patients, good in 9 patients, fair in 3 patients and poor in 1 patient. The rate of excellent and good results is 78.9%. There were no abnormality, no prosthetic dislocation loosening and sinking. No patient had infections. It's an effective method to treat femoral intertrochanteric fractures in elderly patients with long-stem hip prosthetic replacement.
出处 《中国骨质疏松杂志》 CAS CSCD 2009年第3期228-229,200,共3页 Chinese Journal of Osteoporosis
关键词 股骨粗隆间骨折 骨水泥型加长柄人工髋关节 骨质疏松 高龄 Femoral intertrochanteric fracture Long-stem cemented hip prosthetic replacement Osteoporosis Elderly
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  • 1Skovron ML,Zuckerman JD. Hip fractures in the elderly:predictors of one year mortality. J Orthop Trauma, 1997, 11 : 162-165.
  • 2朱通伯 戴克戎主编.骨科手术学 第2版[M].北京:人民卫生出版社,1999.366-367.
  • 3Green S, Moore T, Proano F. Bipolar prosthetic replacement for the Management of unstable intertrochanteric hip fractures in the elderly, Clin Orthop Relat Bes, 1987,224(3): 169-177.
  • 4Chan KC, Gill Gs. Cemented hemiarthroplasties for elderly patients with intertrochanteric fractures. Clin Orthop Relat Res, 2000,317 (2) : 206.

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