[老年股骨颈骨折合并严重髋关节脱位的股骨近端缩短及全髋关节置换方法]
[The methods of shorting of proximal femoral and total hip arthroplasty for old femoral neck fracture with severe hip joint dislocation].
作者信息
Zha Zhen-gang, Liu Ning, Dong Xin, Yao Ping, Lin Hong-sheng, Wang Guo-pu, Wang Zhi, Wu Hao, Huang Yao-xiong
机构信息
Department of Orthopaedics, The First Affiliated Hospital of Jinan University, Guangzhou 510632, China.
出版信息
Zhonghua Wai Ke Za Zhi. 2004 Dec 7;42(23):1416-8.
OBJECTIVE
To discuss the effective method and outcome to old femoral neck fracture with severe hip joint dislocation.
METHODS
From April 1996, 7 cases of old femoral neck fracture with severe hip joint dislocation were treated by the shorting of posterior femoral and total hip arthroplasty.
RESULTS
The average age of 7 patients was 51 years old and the mean follow-up was 27.3 months. The mean Harris score was improved to 84.3 from 36.7 before operation in the latest follow-up. The prosthesis position of acetabular and femoral was excellent, there was no sinking or softening of artificial joint, nonunion of femoral osteotomy.
CONCLUSION
The preliminary clinical results are quite satisfactory of the shorting of posterior femoral and total hip arthroplasty to old femoral neck fracture with severe hip joint dislocation, the follow-up is necessary for further long-term outcome.
目的
探讨老年股骨颈骨折合并严重髋关节脱位的有效治疗方法及疗效。
方法
自1996年4月起，对7例老年股骨颈骨折合并严重髋关节脱位患者采用股骨短缩术联合全髋关节置换术进行治疗。
结果
7例患者平均年龄51岁，平均随访27.3个月。末次随访时Harris评分平均由术前的36.7分提高至84.3分。髋臼及股骨假体位置良好，人工关节无下沉或松动，股骨截骨处无骨不连。
结论
股骨短缩术联合全髋关节置换术治疗老年股骨颈骨折合并严重髋关节脱位的初步临床效果较为满意，需进一步长期随访以观察远期疗效。
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