中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (26): 4796-4800.doi: 10.3969/j.issn.1673-8225.2012.26.010

• 人工假体 artificial prosthesis • 上一篇    下一篇

骨水泥型半髋置换治疗老年股骨颈骨折

李志刚1，2，赵德伟2，郭 林2，夏重君2   

  1. 1大连理工大学，电子信息与电气工程学部，生物医学工程系，辽宁省大连市 116001；
    2大连大学附属中山医院骨科，辽宁省大连市 116001  
  • 收稿日期:2012-01-04 修回日期:2012-04-05 出版日期:2012-06-24 发布日期:2013-11-02
  • 通讯作者: 赵德伟，博士，博士生导师，教授，大连大学附属中山医院骨科，辽宁省大连市 116001
  • 作者简介:李志刚☆，男，1972年生，满族，辽宁省葫芦岛市人，大连理工大学在读博士，副主任医师。

Cemented hemiarthroplasty for femoral neck fractures in elderly patients

Li Zhi-gang1, 2, Zhao De-wei2, Guo Lin2, Xia Chong-jun2   

  1. 1Department of Biomedical Engineering, Faculty of Electronic Information and Electrical Engineering, Dalian University of Technology, Dalian 116001, Liaoning Province, China;
    2Department of Orthopedics, Affiliated Zhongshan Hospital of Dalian University, Dalian 116001, Liaoning Province, China
  • Received:2012-01-04 Revised:2012-04-05 Online:2012-06-24 Published:2013-11-02
  • Contact: Zhao De-wei, Doctor, Doctoral supervisor, Professor, Department of Orthopedics, Affiliated Zhongshan Hospital of Dalian University, Dalian 116001, Liaoning Province, China gksys@126.com
  • About author:Li Zhi-gang☆, Studying for doctorate, Associate chief physician, Department of Biomedical Engineering, Faculty of Electronic Information and Electrical Engineering, Dalian University of Technology, Dalian 116001, Liaoning Province, China; Department of Orthopedics, Affiliated Zhongshan Hospital of Dalian University, Dalian 116001, Liaoning Province, China drlizhigang@sina.com

PDF

389

被引次数

7

摘要：

背景：老年股骨颈骨折患者进行非骨水泥还是骨水泥人工股骨头置换是目前争论的焦点。
目的：对85岁以上股骨颈骨折行骨水泥型人工股骨头置换患者的高风险的临床问题和功能结果进行评估。
方法：32例股骨颈骨折患者进行骨水泥型双极人工股骨头置换治疗，所有患者在置换后1，3，6个月和以后每年行X射线片检查，患者平均随访2~5年。
结果与结论：患者出现内科并发症发生5例(16%)，在随访期间内死亡4例(25%)。脱位发生1例(3%)，患者均未出现异位骨化。平均Harris髋关节评分为84分。说明骨水泥型人工股骨头置换治疗老年股骨颈骨折效果较好，稳定安全。

关键词: 水泥型半髋置换, 股骨颈骨折, 半髋置换, 人工股骨头置换, 老年, 医学植入物, 人工关节

Abstract:

BACKGROUND: A discussion is ongoing whether the elderly patients with femoral neck fractures should be treated with a non-cemented or a cemented hemiarthroplasty.
OBJECTIVE: To evaluated the results of cemented hemiarthroplasty for femoral neck fractures in the patients older than 85 years with high-risk clinical problems and functional outcomes.
METHODS: Thirty-two patients with femoral neck fractures were treated with cemented bipolar hemiarthroplasty. X-ray examination after operation was done at 1, 3 and 6 months and annually in all patients. The mean follow-up period was 2 to 5 years.
RESULTS AND CONCLUSION: Medical complications occurred in five patients (16%) and four patients (25%) died within the follow-up period. Dislocation occurred in one patient (3%). None of the patients had heterotopic ossification. The mean Harris-hip score was 84. Cemented hemiarthroplasty can provide stability, security and good outcomes for the treatment of femoral neck fractures in elderly patients.

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