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华西医学  2012 

记忆合金抓握式接骨板结合自体髂骨植骨治疗Vancouver B1型股骨假体周围骨折

, PP. 1849-1851

Keywords: 人工髋关节置换,股骨假体周围骨折,记忆合金抓握式接骨板,自体髂骨植骨

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Abstract:

目的 探讨人工髋关节置换术后VancouverB1型股骨假体周围骨折的治疗方法。方法 2006年4月-2011年2月采用记忆合金抓握式接骨板固定结合自体髂骨植骨治疗6例VancouverB1型股骨假体周围骨折。其中男2例,女4例;年龄55~78岁,平均68.5岁。6例均为初次行人工关节置换术后6个月~3年,平均18.4个月发生假体周围骨折;骨折至手术时间为3~6d,平均4.2d。结果 术后切口均Ⅰ期愈合,无深静脉血栓形成、肺部感染、肺栓塞等并发症发生。6例均获随访,随访时间13个月~4年,平均28.6个月。X线片示骨折全部愈合,愈合时间12~20周,平均14.8周。末次随访时Harris评分76~93分,平均83.6分;获优3例,良3例。无1例出现接骨板折断、松动,骨折再移位、骨不连、股骨假体松动等并发症。结论 记忆合金抓握式接骨板结合自体髂骨植骨治疗VancouverB1型股骨假体周围骨折具有固定可靠、操作简便的特点,可获满意临床疗效。

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