摘要
目的对于人工关节置换治疗骨质疏松性不稳定股骨粗隆间骨折的临床效果进行分析探讨。方法选取我院自2014年10月至2016年10月收治的21例粗隆间三部分以及四部分出现骨质疏松性不稳定骨折的老年人患者进行骨水泥型双极半髋关节置换术进行治疗,股骨假体均使用标准长度的假体,粗隆骨质疏松性不稳定骨折块在保留股骨距的前提下通过新型钢丝环扎技术加以固定。结果通过走访本次实验研究的所有患者,均未发现假肢松动下沉等现象,粗隆骨均实现了愈合。其中一例患者出现了假体脱位的情况,另外有一例出现了深部感染。结论对于老年人的粗隆骨三部分及四部分的骨质疏松性不稳定骨折通过巩固假体结合钢丝环扎技术在粗隆间加以治疗,对于骨块愈合有着显著的疗效,值得在临床中加以大力推广。
Objective To investigate the clinical effect of artificial joint replacement in the treatment of osteoporotic unstable intertrochanteric fractures. Methods in our hospital from October 2014 to October 2016 treated 21 cases of intertrochanteric three part and the four part of the elderly patients with unstable fracture of osteoporosis were cemented bipolar hemiarthroplasty for treatment of humeral prosthesis,prosthesis were used in standard length,intertrochanteric osteoporotic fractures in unstable block keep away from the humerus under the premise of using new technology to be fixed wire cerclage. Results All the patients in this study were not exposed to the loosening and sinking of the prosthesis. One patient presented with dislocation of the prosthesis and another had a deep infection. Conclusion For elderly intertrochanteric osteoporotic bone in three parts and the four part of the unstable fracture by consolidating the prosthesis combined with cerclage wire technology in the treatment of intertrochanteric for bone healing has significant curative effect,it is worth to be popularized in clinical practice.
