治疗髋关节置换术后股骨假体周围骨折的临床研究  

The clinical researchment about treatment of femur periprothetic fracture after hip arthroplasty.

作　　者：李雅欣[1] 许宏俊[1] 周悦[1] 沈红雷[1] 

机构地区：[1]无锡市人民医院,江苏无锡214023

出　　处：《中外医学研究》2010年第18期3-5,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的探讨捆扎带合并锁定加压钢板固定治疗股骨假体周围骨折的临床疗效。方法自2005年3月～2010年4月对10例股骨假体周围骨折进行切开复位，锁定加压铜板固定，在含有假体的股骨近折端用锁定螺钉作单侧骨皮质固定，不合假体的股骨远折端作双侧骨皮质螺钉固定，同时在包含假体的骨折端两侧利用捆扎带将股骨及钢板同时捆扎固定，自体骨或异体骨植骨。对假体不稳的患者在骨折复位后行假体翻修术。结果10例均获完整随访，随访时间8个月～4年，患肢可早期活动，骨折均一期愈合，股骨假体无松动。关节功能评价良好。结论捆扎带合并锁定加压钢板治疗股骨假体周围骨折固定可靠，术后恢复和骨折愈合快，是一种满意的内固定治疗方法，可获得良好的临床效果。Objective To investigate the clinical effect of locking compressive plate and cable fixation in management of periprosthetic femoral frature. Methods 10 cases of periprosthetic femoral fracture after total hip arthroplasty patients were treated with operation reduction and fixation with locking compressive plate combined with tiantium cable, with autograft or allograft. The cases with prothetic intability were treated with revision at the same time. Results The patients were pain free at the fracture site one week after the surgery, and was able to walk with a cane 3 months after the surgery. All patients were followed up for eight months to four years with average of 18 months. Bony healing was obtained in all the patients. Harris score did not change significantly and the patients recovered full function without pain. Therening was on loosening signs around the stem. Conclusion Most of the femur periprothetic fractures are long spiral frature, locking compressive plate and cable fixation is an simple, effective method for periprosthetie femoral frature. With bone graft in bone loss patient,it can obtain good clinic effect.

关 键 词：假体周围骨折 髋假体 锁定加压钢板 骨折内固定术 捆扎带 

分 类 号：R683.42[医药卫生—骨科学]