[1]胡柏松,杨炯,孙奇.钢丝环扎内固定联合人工股骨头置换治疗合并大小转子及后内侧皮质骨折块的高龄股骨转子间骨折[J].中医正骨,2022,34(03):69-72.
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钢丝环扎内固定联合人工股骨头置换治疗合并大小转子及后内侧皮质骨折块的高龄股骨转子间骨折()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期数:
2022年03期
页码:
69-72
栏目:
临床报道
出版日期:
2022-03-20

文章信息/Info

作者:
胡柏松杨炯孙奇
(杭州市富阳中医骨伤医院,浙江 杭州 311400)
关键词:
髋骨折 转子间骨折 老年人 骨折固定术 钢丝环扎 关节成形术置换
摘要:
目的:观察钢丝环扎内固定联合人工股骨头置换治疗合并大小转子及后内侧皮质骨折块的高龄股骨转子间骨折的临床疗效和安全性。方法:2017年3月至2019年3月,采用钢丝环扎内固定联合人工股骨头置换治疗合并大小转子及后内侧皮质骨折块的高龄股骨转子间骨折患者16例。男5例,女11例。年龄81~92岁,中位数86岁。均为顺转子间骨折。记录手术时间、术中出血量、术后开始完全负重时间,随访观察并发症发生情况。末次随访时,采用Harris髋关节评分标准评价临床疗效。结果:本组16例,手术时间(57±10)min,术中出血量(210±45)mL。术后开始完全负重时间1~7 d,中位数4 d。所有患者均获随访,1例术后8个月死于多器官功能衰竭,其余15例随访时间24~42个月,中位数36个月。1例负重后假体下沉,术后3个月下沉停止; 其余患者均未发生感染、髋关节脱位、假体松动等并发症。末次随访时,15例患者Harris髋关节评分(90.3±3.5)分,优10例、良4例、可1例。结论:钢丝环扎内固定联合人工股骨头置换治疗合并大小转子及后内侧皮质骨折块的高龄股骨转子间骨折,手术时间短、术中出血量少,术后可早期完全负重,髋关节功能恢复较好,且安全性高。

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(收稿日期:2021-10-26 本文编辑:吕宁)

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更新日期/Last Update: 1900-01-01