加长型股骨柄半髋关节置换术治疗股骨转子间骨折股骨近端重建研究进展  

Progress on reconstruction of proximal femur in the hemiarthroplasty for intertrochanteric fracture with distal fixated long stem

作　　者：赵忠全 陈杰超 李学福 刘磊 魏巍 王光忠 ZHAO Zhongquan;CHEN Jiechao;LI Xuefu;LIU Lei;WEI Wei;WANG Guangzhong(Department of Orthopedics,Liaocheng Third People’s Hospital,Liaocheng Shandong,252000,P.R.China;Department of Child Protection,Maternal and Child Health Care Hospital of Dongchangfu District,Liaocheng Shandong,252000,P.R.China)

机构地区：[1]聊城市第三人民医院骨科,山东聊城252000 [2]聊城市东昌府区妇幼保健院儿保科,山东聊城252000

出　　处：《中国修复重建外科杂志》2020年第4期536-540,共5页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的总结应用加长型股骨柄行半髋关节置换术治疗股骨转子间骨折时,股骨近端重建顺序、骨折固定材料以及重建后相关问题,以期提高临床对股骨近端重建的重视,减少并发症的发生。方法查阅国内外应用加长型股骨柄行半髋关节置换术治疗股骨转子间骨折的相关文献,并进行总结分析。结果应用加长型股骨柄行半髋关节置换术时,重建顺序分为骨折重建优先和假体重建优先。前者主要是为关节假体的植入提供解剖参考,后者主要是为骨折固定提供支撑。重建材料中骨水泥型和生物型假体各有特点,骨折固定材料多组合使用,重建顺序和材料均无统一标准。结论虽然加长型股骨柄半髋关节置换术后假体稳定主要依靠股骨远端,但股骨近端的精细化重建仍需要重视。Objective To summarize the application of distal fixated long stem in the treatment of intertrochanteric fracture(ITF)in the sequence of proximal femoral reconstruction,fixation materials,and other details after operation,in order to improve doctor’s attention to the reconstruction of the proximal femur and reduce complications.Methods The related literature about the application of distal fixated long stem in the treatment of ITF was extensively reviewed,summarized,and analyzed.Results The sequence of reconstruction is divided into fracture reconstruction priority and prosthesis reconstruction priority.The former is mainly to provide an anatomical reference for the placement of joint prostheses,the latter is mainly to provide support for fracture fixation.The distal fixated cement long stem and cementless long stem have their own characteristics,and materials of reconstruction are used in combination.There is no uniform standard for the sequence and materials of reconstruction.Conclusion Although the stability of the distal fixated long stem depends on the distal femur,the accurate reconstruction of the proximal femur is still worthy of attention.

关 键 词：股骨转子间骨折 半髋关节置换术 髋关节重建 加长型股骨柄 

分 类 号：R687.3[医药卫生—骨科学]