人工髋关节置换后股骨假体周围骨折  

Peripheral fractures of prosthesis of femur after total hip arthroplasty

作　　者：郑东 

机构地区：[1]天津中医药研究院附属医院骨科,天津市300120

出　　处：《中国组织工程研究》2012年第30期5662-5669,共8页Chinese Journal of Tissue Engineering Research

摘　　要：背景:人工髋关节置换是治疗严重髋关节疾病最有效的方法,股骨假体周围骨折是人工髋关节置换后严重的并发症之一。目的:对人工髋关节置换后股骨假体周围骨折研究的文献资料趋势进行多层次探讨分析。方法:以电子检索方式对CNKI数据库学术期刊2002-01/2011-12收录的有关人工髋关节置换后股骨假体周围骨折研究的文献进行分析,采用检索词为"髋关节置换;人工假体;周围骨折",运用数据库的分析功能和Excel软件图表的功能分析数据特征。结果与结论:人工髋关节置换后股骨假体周围骨折的主要原因是创伤,翻修治疗、患者老龄化、假体类型、假体固定方式和关节活动量的增加等,也与骨折发生有关。Vancouver分型方法主要用于人工髋关节置换后股骨假体周围骨折,Vancouver分型包含患者骨折的部位、骨折的类型、假体固定情况、假体松动情况以及股骨近端的骨量丢失等因素,对临床治疗股骨假体周围骨折具有良好的指导价值。人工髋关节置换后股骨假体周围骨折的治疗方法多采用形状记忆合金环抱器、微创内固定系统、锁定加压钢板、异体皮质骨板、碳纤维板、打压植骨及翻修等固定。BACKGROUND： Total hip arthroplasty is the most effective method for treatment of severe hip disease, and periphera fractures of femur prosthesis is a serious complication after total hip arthroplasty. OBJECTIVE： To explore the trend of the literatures related to peripheral fractures of femur prosthesis after total hip arthroplasty. METHODS： A computer-based research was performed in CNKI database from January 2002 to December 2011 for the literatures related to the fracture around the femur prosthesis after total hip arthroplasty. The key words were ＂total hip arthreplasty, prosthesis, peripheral fractures＂. The database analysis capabilities and Excel charts functions was used to analyze the data characteristics. RESULTS AND CONCLUSION： The peripheral fractures of femur prosthesis after total hip arthroplasty was mainly caused by the trauma, and the renovation treatment, aging of the patients, the type of prosthesis, the fixation of the prosthesis and the increasing of the amount of joint activities also related to the occurrence of the fracture. Vancouver typing methods were often used to evaluate the peripheral fractures of femur prosthesis after total hip arthroplasty. Vancouver typing included the site of fracture, the type of fracture, fixation of prosthesis, loosening of the prosthesis and bone loss of proximal femur and other factors, which has a good guiding value on the treatment of peripheral fractures of femur prosthesis. The shape memory embracing fixator, less invasive stabilization system, locking compression plate allogenic cortical bone plates, carbon fiber plates, impaction bone grafting and revision and other fixation methods are often used for the treatment of peripheral fractures of femur prosthesi~ after total hip arthroplasty.

关 键 词：人工髋关节置换 假体周围骨折 骨水泥 人工假体 骨质疏松 Vancouver分型 

分 类 号：R318[医药卫生—生物医学工程]