生物型加长柄治疗高龄不稳定转子间骨折  

Treatment of Unstable Intertrochanteric Fracture by Arthroplasty with Long-stem Cementless Prosthesis in Osteoporotic Elders

作　　者：张成敏[1] 陈世荣[1] 

机构地区：[1]重庆医科大学第二附属医院骨科,重庆400010

出　　处：《中国中医骨伤科杂志》2013年第4期38-39,41,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:探讨高龄骨质疏松不稳定型转子间骨折的治疗方法。方法:人工髋关节置换术治疗高龄不稳定型转子间骨折患者72例,术后1周开始负重。结果:随访10～55个月,期间除1例死于肺栓塞、7例死于其他内科疾病、1例感染翻修以外其余患者假体位置良好,无明显下沉松动,无假体松动脱位。根据Harris评分,优27例、良9例、差1例。结论:生物型加长柄人工髋关节置换是治疗高龄不稳定型转子间骨折较满意的方法。Objective：To detect the treatment methods of unstable intertrochanterm fracture m osteoporonc elders, Methods： Artificial hip prosthetic replacement surgery was used to treat the unstable intertrochanteric fracture, which were begun to bear load one week after the surgery. Results： All patients were followed up for 10-55 months. There were 1 patient died due to pulmonary embolism, 7 patients died due to other medical diseases, and one patient received a revision for infections, the position o{ prosthesis in remaining patients were well, no obvious sinking, loosening, and dislocation. There were 27 cases in excellence, 9 good, and 1 in bad according to Harris score. Conclusion： Artificial hip arthroplasty with long-stem cementless prosthesis is an effective method to treat the unstable intertrochanteric fracture in osteoporotic elders for its advantages of early activities to reduce complications, operating and renovating easily.

关 键 词：转子间骨折 骨质疏松症 人工髋关节置换 生物柄 

分 类 号：R683.42[医药卫生—骨科学]