| 翻修柄人工股骨头置换术治疗高龄不稳定型股骨粗隆间骨折 |
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投稿时间：2013-08-06
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| 作者 | Author | 单位 | Address | E-Mail |
| 张鹏 |
ZHANG Peng |
四川省骨科医院老年骨科, 四川 成都 610041 |
Department of Elderly Orthopaedics, Sichuan Orthpaedics Hospital, Chengdu 610041, Sichuan, China |
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| 陈经勇 |
CHEN Jing-yong |
四川省骨科医院老年骨科, 四川 成都 610041 |
Department of Elderly Orthopaedics, Sichuan Orthpaedics Hospital, Chengdu 610041, Sichuan, China |
alittlepeng@126.com |
| 李钟 |
LI Zhong |
四川省骨科医院老年骨科, 四川 成都 610041 |
Department of Elderly Orthopaedics, Sichuan Orthpaedics Hospital, Chengdu 610041, Sichuan, China |
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| 毕梦娜 |
BI Meng-na |
四川省骨科医院老年骨科, 四川 成都 610041 |
Department of Elderly Orthopaedics, Sichuan Orthpaedics Hospital, Chengdu 610041, Sichuan, China |
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| 张上上 |
ZHANG Shang-shang |
四川省骨科医院老年骨科, 四川 成都 610041 |
Department of Elderly Orthopaedics, Sichuan Orthpaedics Hospital, Chengdu 610041, Sichuan, China |
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| 朱江伟 |
ZHU Jiang-wei |
四川省骨科医院老年骨科, 四川 成都 610041 |
Department of Elderly Orthopaedics, Sichuan Orthpaedics Hospital, Chengdu 610041, Sichuan, China |
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| 鲁丽莎 |
LU Li-sha |
四川省骨科医院老年骨科, 四川 成都 610041 |
Department of Elderly Orthopaedics, Sichuan Orthpaedics Hospital, Chengdu 610041, Sichuan, China |
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| 期刊信息：《中国骨伤》2013年，第26卷，第12期，第989-991页 |
| DOI：10.3969/j.issn.1003-0034.2013.12.005 |
| 基金项目: |
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中文摘要:
目的：观察翻修柄人工股骨头置换术治疗高龄不稳定型股骨粗隆间骨折的效果.
方法：自2007年9月至2011年1月，采用翻修柄人工股骨头置换术治疗高龄不稳定型股骨粗隆间骨折患者32例，其中男11例，女21例；年龄80～98岁，平均83.8岁；受伤至就诊时间4 h～14 d.骨折采用Evans-Jensen分型，Ⅱa型6例，Ⅱb型20例，Ⅲ型6例.对术后死亡率、并发症发生率及Harris髋关节功能进行对比分析以评价疗效.
结果：所有患者获随访，均未见脱位.6例在术后1年3个月～4年6个月死亡.术后6个月恢复独立行走24例，扶拐或助行器行走8例.Harris髋关节评分平均（91.56±2.96）分，优28例，良4例.9例发生并发症，经治疗后痊愈.
结论：翻修柄人工股骨头置换是高龄不稳定型股骨粗隆间骨折的一种积极可靠的治疗措施. |
| 【关键词】股骨 骨折 关节成形术,置换 老年人 |
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| Renovation stem revision femoral head arthroplasty for unstable intertrochanteric fracture in the elderly |
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ABSTRACT
Objective: To observe clinical efficacy of renovation stem revision femoral head arthroplasty for the treatment of unstable intertrochanteric fracture in the elderly.
Methods: Totally 32 elderly patients with unstable intertrochanteric fracture were treated with renovation stem revision femoral head arthroplasty from September 2007 to January 2011. There were 11 males and 21 females with an average age of 83.8(ranged,80 to 98) years old,the time from injury to hospital ranged from 4 h to 14 days. According to Evans-Jensen classification,6 cases were type Ⅱa,20 cases were type Ⅱb,and 6 cases were type Ⅲ.Postoperative mortality,complication rates and Harris hip function score were compared and analyzed to evaluate curative effect.
Results: All patients were followed up and no dislocation occurred. Six patients were died during 15 months and 4.5 years;24 cases recoved to independent wakling at 6 months after operation,and 8 cases walked with stick and walker. The average Harris hip joint function score were(91.56±2.96),28 cases got excellent results and 4 cases good. Nine cases occurred complications and healed after treatment.
Conclusion: Renovation stem revision femoral head arthroplasty is a active and reliable method in treating unstable intertrochanteric fracture in the elderly. |
| KEY WORDS Femur Fractures Arthroplasty, replacement Aged |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张鹏,陈经勇,李钟,毕梦娜,张上上,朱江伟,鲁丽莎.翻修柄人工股骨头置换术治疗高龄不稳定型股骨粗隆间骨折[J].中国骨伤,2013,26(12):989~991 |
| 英文格式: | ZHANG Peng,CHEN Jing-yong,LI Zhong,BI Meng-na,ZHANG Shang-shang,ZHU Jiang-wei,LU Li-sha.Renovation stem revision femoral head arthroplasty for unstable intertrochanteric fracture in the elderly[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(12):989~991 |
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