| 一期全髋置换治疗严重髋关节骨性关节炎伴股骨近端骨折 |
|
摘要点击次数: 83
全文下载次数: 0
投稿时间：2018-10-31 修订日期：2019-01-01
|
|
|
| 期刊信息：《中国骨伤》年，第卷，第期，第-页 |
| DOI： |
| 基金项目: |
|
| 中文摘要:【摘要】 目的：探讨一期全髋置换在治疗严重髋关节骨性关节炎伴股骨近端骨折病例中的疗效及预后。方法：自2014年7月至2017年10月，采用一期全髋置换的方法治疗8例严重的终末期髋关节疾病伴股骨近端骨折患者，男6例，女2例。年龄59~72岁，平均65岁；右侧股骨头坏死伴右侧股骨近端骨折4例；左侧股骨头坏死伴左侧股骨近端骨折3例；左侧髋臼发育不良伴左侧股骨近端骨折1例，患者自受伤至此次手术时间平均为7天。8例患者均采用生物型加长柄人工髋关节假体。结果：8例一期全髋置换患者术后均获得随访，随访时间12~48个月，平均31个月。随访期间假体无松动、下沉，Harris评分从术前平均33分（22~42分），提高到末次随访时平均87分（82~90分），其中优3例，良5例，术后3个月弃拐行走，术后3~6个月X线片显示骨折愈合良好，患者髋关节疼痛和功能明显改善，生活质量得到极大提高。结论： 严重的髋关节骨性关节炎伴股骨近端骨折患者采取一期全髋关节置换具有缩短治疗时间、减轻患者痛苦、减少住院费用、预后效果好等优点。 |
| 【关键词】骨关节炎，髋 股骨近端骨折 一期全髋置换 |
| |
| SINGLE-STAGE TATOL HIP ARTHROPLASTY FOR SEVERE HIP OSTEOARTHRITIS WITH APROXIMAL FEMORAL FRACTURES |
|
| ABSTRACT ABSTRACT Objective：To investigate the efficacy and prognosis of single-stage total hip arthroplasty in the treatment of severe hip osteoarthritis with proximal femoral fractures.Method：From July 2014 to October 2017, 8 patients with severe end-stage hip joint disease with proximal femoral fractures of the femur were treated with single-stage total hip arthroplasty including 6 males and 2 females with an average of 65 years old(range 59 to 72)in this group;4 cases of the right femoral head necrosis accompanied with proximal femoral fracture of the right femur;3 cases of the left femoral head necrosis with the left femur proximal fracture ;1 case of the left acetabular dysplasia was associated with a proximal fracture of the left femur. The average time from injury to surgery was 7 days.All 8 patients were treated with cementless extended-handle hip prosthesis.Results：All cases were followed up for the average 31months（range12 to 48 months）. During the follow-up period, the cementless prosthesis did not loose or sink.The mean Harris scores had improved from 33 pre-operatively to 87 post-operatively at the end of the follow-up, the result were excellent in 3 cases,good in 5 cases.Patients can walk without crutches 3 months after the operation.X-ray at 3 to 6 months after the operation showed good fracture healing,significant impovement in hip pain and function, the quality of life has been greatly improved.Conclusion:Severe hip osteoarthritis with proximal femoral fractures in patients with single-stage total hip arthroplasty have the advantages of shortening treatment time, reducing patient suffering, reducing hospitalization costs, and achieving good prognosis, etc. |
| KEY WORDS Osteoarthritis, Hip Proximal femoral fracture Single-stage total hip arthroplasty |
| |
| 引用本文，请按以下格式著录参考文献： |
|
|
| 阅读全文 下载 查看/发表评论 下载PDF阅读器 |
| 关闭 |
