加长柄人工髋关节置换治疗股骨上端严重病损

Plus long-handled hip arthroplasty for severe femoral neck lesion

目的探讨加长柄人工髋关节置换治疗股骨上端严重病损的临床应用及意义。方法应用加长柄人工髋关节置换治疗股骨上端严重病损9例，其中粗隆问难复性骨折6例，骨巨细胞瘤2例，骨纤维结构不良1例。结果经过平均18个月随访，9例患者均存活，术后切口1期愈合，人工关节功能良好，无假体脱位及松动。结论加长柄人工髋关节置换治疗股骨上端严重病损，术后恢复快，较早恢复患肢功能，减少并发症及死亡率。

Objective To explore the long-handled hip arthroplasty for femoral neck severe lesions clinical application and significance. Methods Canadian Long-stem total hip arthropiasty for severe femoral neck lesion in 9 cases, in which hard recovery intertrochanteric fractures in 6 cases, 2 cases of bone giant cell tumor of bone fibrous dysplasia in 1 case. Results After an average of 18 months of follow-up, 9 patients survived, but a postoperative wound healing, artificial joints function well without dislocation and loosening of prosthesis. Conclusion The long-handled hip arthroplasty for severe femoral neck lesion, rapid postoperative recovery, earlier resumption of limb function and reduce complications and mortality.