钛缆联合钢板或皮质骨条治疗Vancouver B型股骨假体周围骨折

Vancouver B Type Periprosthetic Proximal Femur Fractures Treated with Cable and Plate or Cortical Strut Bone Allograft

目的:探讨应用钛缆联合钢板或皮质骨条治疗Vancouver B型股骨假体周围骨折的效果。方法:回顾分析2005年1月—2010年12月采用钛缆联合钢板或皮质骨条治疗的34例Vancouver B型股骨假体周围骨折患者的临床资料。均采用AO锁定钢板或Zimmer钛缆钢板。结果:所有患者最终达到骨愈合。出现1例骨慢连接(B1型),1例再骨折(B1型),1例伤口渗出(B3型)。结论:钛缆联合钢板、异体皮质骨条治疗Vancouver B型股骨假体周围骨折的效果较为可靠。应用锁定钢板相对钛缆钢板手术时间更短,出血量更少。

Objective：To study the Vancouver B type periprosthetic proximal femur fractures treated with cable and plate or cortical strut bone graft.Methods： Retrospective study was performed in 34 cases with periprosthestic proximal femur fractures allocated in Vancouver B type from January 2005 to December 2010.All the cases were treated by cable and plate or cortical strut bone allograft.Cases with other types of fixation were excluded.AO locking plate and Zimmer cable plate were used.Results： At last,every case reached union.The complication include 1 refracture（type B1）,1 delayed union（type B1） and 1 incision leakage（type B3）.Conclusions： Cable and plate or cortical strut bone graft is a good way to treat the Vancouver B type periprosthetic proximal femur fractures.Compare the cable plate,locking plate can save the operation time and blood loss.