| 摘要: |
| ［摘要］ 目的 分析人工髋关节置换术后股骨假体周围骨折的病因、治疗方法和效果。方法 回顾分析9例人工髋关节置换术后股骨假体周围骨折的临床资料。其中2例非手术治疗，3例使用非骨水泥型股骨假体，1例使用骨水泥型股骨假体，3例使用植骨和记忆合金环抱器。结果 2例非手术治疗骨折者1例未愈合，1例愈合，7例手术治疗者骨折全部愈合。结论 假体稳定的A型骨折可以非手术治疗，B2型骨折使用非骨水泥柄假体，B1型和C型骨折使用植骨和记忆合金环抱器。 |
| 关键词: 髋关节 股骨骨折 假体周围骨折 |
| DOI：10.3969/j.issn.1674-3806.2012.01.14 |
| 分类号:R 683.42 |
| 基金项目: |
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| Treatment of periprosthetic femoral fractures after total hip arthroplasty |
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KANG Xin- feng
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Department of Orthopaedics, the People′s Hospital of Xuchang City,Henan 461000,China
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| Abstract: |
| ［Abstract］ Objective To analyze the cause and results of treatment of periprosthetic femoral fractures after total hip arthroplasty,and explore the best operative methods for these fractures.Methods A retrospective analysis of the clinical data of 9 patients with periprosthetic femoral fracture after total hip arthroplasty treated in our hospital was performed.Two patients were treated by nonoperative methods;three patients by uncemented stems with distal fixation and one cemented stem.Three patients by bone grafting and Ni-Ti embracting fixation.Results Non healing was found in one patient who received nonoperative method,one was cured with nonoperative methods.All of the seven patients treated by operative methods were cured.Conclusion Type A fractures with well fixed stems can be treated by nonoperative methods ; type B2 fractures should be treated by uncemented stems with distal fixation,type B1 and type C fractures should be treated by bone grafting and Ni-Ti embracting fixation. |
| Key words: Hip Femoral fracture Periprosthetic fractures |
