桥接组合式内固定系统在人工髋关节股骨假体周围骨折中的应用  

Application of bridge combined internal fixation system in the treatment of periprosthetic femoral fracture

作　　者：王英彪 曾展鹏[1] 郑伟杰[1] WANG Ying-biao;ZENG Zhan-peng;ZHENG Wei-jie(Fourth Department of Orthopaedic Injuries,Guangzhou Panyu District Hospital of Traditional Chinese Medicine,Guangzhou 511400,Guangdong,CHINA)

机构地区：[1]广州市番禺区中医院骨伤四科,广东广州511400

出　　处：《海南医学》2021年第15期2001-2003,共3页Hainan Medical Journal

基　　金：广东省广州市医药卫生科技项目(编号:20171A010333);广东省广州市番禺区医疗卫生项目(编号:2017-Z04-14)。

摘　　要：目的探讨桥接组合式内固定系统在人工髋关节置换术后股骨假体周围骨折中的应用效果。方法回顾性分析2018年6月至2019年12月在广州市番禺区中医院应用桥接组合式内固定系统治疗人工髋关节置换术后股骨假体周围骨折(VancouverB1和C型)的11例患者的临床诊治资料,观察患者骨折愈合时间、骨折愈合后髋关节功能评分(Harris评分)、患肢的短缩情况、骨折愈合后行走情况以及并发症发生情况。结果11例患者的平均随访时间为(6.8±2.1)个月,术口均甲级愈合;所有患者骨折均愈合,平均骨折愈合时间(4.7±1.6)个月,骨折愈合后的髋关节Harris评分平均(80.9±7.7)分;骨折愈合后患肢长度较对侧肢体平均短缩约(0.78±0.33)cm;骨折愈合后7例患者可在无保护下负重行走,4例需依靠手杖或助行器辅助行走;术后未发现明显深静脉血栓、骨折畸形愈合、内固定物失效或假体松动。结论应用桥接组合式内固定系统治疗人工髋关节置换术后股骨假体周围骨折效果理想,内固定物稳定可靠,是一种理想的选择。Objective To explore the clinical effect of bridge combined internal fixation system in the treat-ment of periprosthetic femoral fracture after hip arthroplasty.Methods A retrospective analysis was performed on the clinical data of 11 cases of periprosthetic femoral fractures after hip arthroplasty(Vancouver type B1 and C)treated by the bridge combined internal fixation system in Guangzhou Panyu District Hospital of Traditional Chinese Medicine from June 2018 to December 2019.The time of fracture healing,Harris scores of hip joint after fracture healing,limb shortening,situation of walk after fracture healing,and complications were observed from clinical effects,image data and follow-up information.Results The mean follow-up time was(6.8±2.1)months of all the 11 cases;the wound of all cases showed grade A.All the 11 cases had fracture healing,and the mean healing time was(4.7±1.6)months;the mean Harris score of hip joint after fracture healing was(80.9±7.7)points;the limb shortening after fracture healing was shorter than another limb by about(0.78±0.33)cm;among the 11 cases,7 cases could walk without safeguard,the others could walk by cane or walking aid.There were no postoperative complications such as DVT,fracture malunion,internal fixation loosening or prosthesis loosening.Conclusion The effect of bridge combined internal fixation system is ideal for treating periprosthetic femoral fracture after hip arthroplasty,and the internal fixation system is stable and reliable.

关 键 词：股骨假体周围骨折 Vancouver分型 桥接组合式内固定系统 个性化方案 多轴多平面固定 

分 类 号：R683.42[医药卫生—骨科学]