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人工股骨头置换术治疗股骨颈骨折长期随访

Hits: 2445 Download times: 1209 Received:October 25, 2002

作者	Author	单位	Unit	E-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16卷，第9期，第533-534页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

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.

KEYWORDS: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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