中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (52): 9767-9769.doi: 10.3969/j.issn.1673-8225.2011.52.018

• 人工假体 artificial prosthesis • 上一篇    下一篇

经后外侧入路小切口全髋关节置换治疗股骨颈骨折

刘程俊，谢直跃，顾祖超，杨立明，张  宇   

  1. 成都市第一人民医院骨科，四川省成都市  610041
  • 收稿日期:2010-06-15 修回日期:2011-10-26 出版日期:2011-12-24 发布日期:2011-12-24
  • 作者简介:刘程俊★，男，1982年生，四川省成都市人，汉族，2009年四川大学毕业，硕士，主要从事关节创伤与修复。 Yooseungjun1982@126.com

Total hip arthroplasty with posterior minimal incision for the treatment of femoral neck fractures

Liu Cheng-jun, Xie Zhi-yue, Gu Zu-chao, Yang Li-ming, Zhang Yu   

  1. Department of Orthopedics, the First People’s Hospital of Chengdu, Chengdu  610041, Sichuan Province, China
  • Received:2010-06-15 Revised:2011-10-26 Online:2011-12-24 Published:2011-12-24
  • About author:Liu Cheng-jun★, Master, Department of Orthopedics, the First People’s Hospital of Chengdu, Chengdu 610041, Sichuan Province, China yooseungjun1982@126.com

PDF

458

被引次数

13

摘要：

背景：全髋关节置换已成为老年人创伤性股骨颈骨折常见的治疗方式之一，小切口微创方式可减少手术创伤及患者痛苦，便于老年患者假体置换后早期康复。
目的：探讨经后外侧入路小切口行全髋关节置换后治疗股骨颈骨折的临床效果。
方法：回顾性分析25例创伤后股骨颈骨折(Garden Ⅲ、Ⅳ型)患者资料，均行经后外侧入路小切口全髋关节置换。
结果与结论：25例患者随访≥6个月。置换后复查X射线示假体位置良好；1例出现脱位，处理后未再发生脱位；1例下肢不等长，不影响行走。置换后9个月Harris评分平均85.7。置换后未发生感染、神经损伤、假体松动、假体周围骨质情况及深静脉血栓形成。说明经后外侧入路小切口全髋关节置换具有创伤小、人工关节稳定性强、患者恢复时间短等优点，适合老年股骨颈骨折(Garden Ⅲ、Ⅳ型)患者。

关键词: 关节成形, 全髋关节置换, 微创, 置换, 股骨颈骨折

Abstract:

BACKGROUND: Total hip arthroplasty has become one of the common treatment modalities of the traumatic femoral neck fractures in the aged. Total hip arthroplasty with minimal incision not only reduces the surgical trauma and the patients suffering, but also benefits the recovery from operation in the aged.
OBJECTIVE: To explore the clinical results of total hip arthroplasty with posterior minimal incision for the treatment of femoral neck fractures.
METHODS: A total of 25 cases of traumatic femoral neck fractures (Garden Ⅲ and Ⅳ) underwent total hip arthroplasty with posterior minimal incision were retrospectively analyzed.
RESULTS AND CONCLUSION: All 25 cases were followed up for more than 6 months. According to the X-ray examination after operation, the prosthesis was in good position. One case had prosthesis dislocation, and the dislocation didn’t happen after treatment. One case had lower limb discrepancy which did not influence walks. The average Harris score was 85.7 in the 9th month after operation. There was no infection, nerve injury, prosthetic loosening and deep venous thrombosis after operation. The bone condition around the prosthesis was good. These findings indicate that total hip arthroplasty with posterior minimally incision has the advantages of little trauma size, stabilized artificial joints and short recovery time, therefore is a suitable treatment modality for aged femoral neck fractures (Garden Ⅲ and Ⅳ) patients.

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