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[股骨转子间骨折内固定失败后行全髋关节置换术]

[Conversion total hip replacement after failed internal fixation of intertrochantric fracture].

作者信息

Kligman M, Roffman M

机构信息

Dept. of Orthopedic Surgery, Carmel Medical Center, Haifa.

出版信息

Harefuah. 1998 May 1;134(9):690-2, 751.

Abstract

Between 1933-1995, 16 patients underwent conversion-total hip replacement after internal fixation of an intertrochanteric fracture failed. Clinical results were unsatisfactory compared to primary total hip replacement. There was a high incidence of intra- and postoperative complications, including femoral fracture, wound infection, and aseptic loosening. This study should increase the surgeon's awareness of the difficulties encountered in conversion of failed intertrochanteric fractures to total hip replacement.

摘要

1933年至1995年间,16例患者在股骨粗隆间骨折内固定失败后接受了翻修全髋关节置换术。与初次全髋关节置换相比,临床结果并不理想。术中和术后并发症的发生率较高,包括股骨骨折、伤口感染和无菌性松动。本研究应提高外科医生对股骨粗隆间骨折翻修至全髋关节置换术所遇到困难的认识。

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