Dekel S, Salama R, Weissman S L
Rev Chir Orthop Reparatrice Appar Mot. 1979 Sep;65(6):333-40.
The authors have reviewed 230 case of fractures of the femoral neck treated by primary femoral prosthesis. The mortality was 12,6 p. 100 during the first three post operative months, and 16,5 p. 100 after three additional months. The infection rate was 13,9 p. 100, 4,7 p. 100 of the cases being severely infected. The postero lateral approach was more favourable than the antero-lateral approach. Late results were studied on 142 cases. The average follow-up was 4 years. The clinical results were closely dependent on the radiological appearance. When the prosthesis progressively penetrated into the femoral medullary canal incapacitating pain was always present. It is concluded that the use of cement may improve the results in a number of cases.
作者回顾了230例采用初次股骨假体治疗的股骨颈骨折病例。术后头三个月的死亡率为12.6‰，再过三个月后为16.5‰。感染率为13.9‰，其中4.7‰的病例为严重感染。后侧入路比前外侧入路更具优势。对142例病例进行了远期结果研究。平均随访时间为4年。临床结果与放射学表现密切相关。当假体逐渐向股骨髓腔内深入时，总会出现使患者丧失能力的疼痛。得出的结论是，在一些病例中使用骨水泥可能会改善结果。
