人工股骨头置换术治疗股骨颈骨折长期随访
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作者Author单位AddressE-Mail
刘德忠 LIU Dezhong 文登整骨医院,山东 文登 264400 Wendeng Orthopaedic Hospital of Shandong  
黄相杰 HUANGXiangjie 文登整骨医院,山东 文登 264400 Wendeng Orthopaedic Hospital of Shandong  
姜红江 JIANG Hongjiang 文登整骨医院,山东 文登 264400 Wendeng Orthopaedic Hospital of Shandong  
周志高 文登整骨医院,山东 文登 264400 Wendeng Orthopaedic Hospital of Shandong  
胡年宏 文登整骨医院,山东 文登 264400 Wendeng Orthopaedic Hospital of Shandong  
焦明航 文登整骨医院,山东 文登 264400 Wendeng Orthopaedic Hospital of Shandong  
高广凌 文登整骨医院,山东 文登 264400 Wendeng Orthopaedic Hospital of Shandong  
期刊信息:《中国骨伤》2003年,第16卷,第9期,第533-534页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:
中文摘要:

目的:对人工股骨头置换术治疗股骨颈骨折的长期疗效进行分析。

方法:根据216例股骨颈骨折患者行人工股骨头置换术的临床资料进行回顾性研究。

结果: 人工股骨头置换后髋关节功能优良率呈逐年下降趋势。3、5、8、10年的优良率分别为84.7%、78.4%、61.5%、38.9%。假体松动、下沉及髋臼磨损等并发症的发生率较高。无一例因合并症而死亡。

结论:人工股骨头置换术治疗老年股骨颈骨折仍是一种有效的治疗方法。适应证的选择、合并症的处理和并发症的预防对股骨颈骨折的远期疗效有重要影响。
【关键词】股骨颈骨折  关节形成术  置换,髋  并发症
 
A long term follow-up of femoral head replacement for fracture of the femoral neck
ABSTRACT  

Objective:To analyze the long term result of femoral head replacement in treatment of the femoral neck fracture

Methods:216 cases of the femoral neck fracture treated by femoral head replacement from 1988 to 1998 were studied retrospectively.

Results:The good and excellent rate of the hip function decreased with time in 84.7% 、78.4%、61.5%、38.9% at 3、5、8 and 10 years respectively. None was dead from complications of the operation. The incidence of prosthesis loosing,subsided and acetabular abrasion were also higher.

Conclusion:Artificial femoral head replacement was still effective therapy for fracture of the femoral neck in the old patients. The choice of indication and management and prevention of complication are main factors to affect long term Results of femoral head replacement in treatment of the femoral neck fracture.
KEY WORDS  Femoral neck fracture  Arthroplasty  Replacement, hip  Complications
 
引用本文,请按以下格式著录参考文献:
中文格式:刘德忠,黄相杰,姜红江,周志高,胡年宏,焦明航,高广凌.人工股骨头置换术治疗股骨颈骨折长期随访[J].中国骨伤,2003,16(9):533~534
英文格式:LIU Dezhong,HUANGXiangjie,JIANG Hongjiang.A long term follow-up of femoral head replacement for fracture of the femoral neck[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(9):533~534
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