| 股骨颈骨折全髋关节置换术后股骨近端形态变化 |
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Received:May 20, 2015
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| 作者 | Author | 单位 | Unit | E-Mail |
| 王春生 |
WANG Chun-sheng |
西安交通大学医学院第二附属医院骨一科, 陕西 西安 710004 |
The First Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China |
wcs420@163.com |
| 张子琦 |
ZHANG Zi-qi |
西安交通大学医学院第二附属医院骨一科, 陕西 西安 710004 |
The First Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China |
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| 杨佩 |
YANG Pei |
西安交通大学医学院第二附属医院骨一科, 陕西 西安 710004 |
The First Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China |
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| 王坤正 |
WANG Kun-zheng |
西安交通大学医学院第二附属医院骨一科, 陕西 西安 710004 |
The First Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China |
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| 王伟 |
WANG Wei |
西安交通大学医学院第二附属医院骨一科, 陕西 西安 710004 |
The First Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China |
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| 期刊信息：《中国骨伤》2015年28卷，第9期，第788-791页 |
| DOI：10.3969/j.issn.1003-0034.2015.09.003 |
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目的:观察全髋关节置换(THA)治疗股骨颈骨折及股骨头坏死术后股骨近端形态改变,分析是否存在差异及其表现形式.
方法:2014年1月至12月同一手术组连续股骨颈骨折和股骨头坏死行THA治疗的病例进行对比分析,其中股骨颈骨折患者22例,男11例,女11例,年龄44~83岁,平均(66.18±11.47)岁;股骨头坏死患者23例,男12例,女11例,年龄19~68岁,平均(51.91±11.76)岁.测量THA术后股骨高度,Offset,截骨位置和调整方式,进行统计分析.
结果:全部患者获得测量,行THA治疗后,股骨颈骨折病例较股骨头坏死病例有更低的股骨高度,更小的Offset,更低的截骨位置,并发现了3种低位截骨后的调整方式.
结论:股骨颈骨折行THA手术,有产生低截骨、较小Offset的可能,因低位截骨而进行的调整可能会对近远期疗效产生不良影响. |
| [关键词]:关节成形术,置换,髋 股骨颈骨折 骨折固定术,内 外科手术 |
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| Proximal femoral geometry changes after femoral neck fracture treated with total hip arthroplasty |
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Abstract:
Objective: To observe the changes of proximal femoral geometry after femoral neck fracture treated with THA, analyze the existent of differences and their manifestation.
Methods: All patients of femoral neck fracture (FNF) and osteonecrosis of femoral head (ONFH) were treated with THA by the same operating team from January to December of 2014, including 22 patients with FNF(11 males and 11 females, with age from 44 to 83 years old (means 66.18±11.47) and 23 patients with ONFH (12 males and 11 females, with age from 19 to 68 years old (means 51.91±11.76). After THA, height of femorals, offsets, osteotomy position and adjusting modes were measured and the statistic analysis was done.
Results: After THA, all patients were measured. Decreased femoral height, offsets and lower osteotomy positions were found in patients with FNF than those with ONFH, and 3 kinds of adjustments because of lower-positional osteotomy were found.
Conclusion: After THA, lower-positional osteotomy and decreased femoral offsets may occur on patients with FNF. The adjustments caused by lower-positional osteotomy may lead to negative results. |
| KEYWORDS:Arthroplasty, replacement, hip Femoral neck fractures Fracture fixation, internal Surgical procedures, operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王春生,张子琦,杨佩,王坤正,王伟.股骨颈骨折全髋关节置换术后股骨近端形态变化[J].中国骨伤,2015,28(9):788~791 |
| 英文格式: | WANG Chun-sheng,ZHANG Zi-qi,YANG Pei,WANG Kun-zheng,WANG Wei.Proximal femoral geometry changes after femoral neck fracture treated with total hip arthroplasty[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(9):788~791 |
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