Patel Kalpit K, Ashford Robert U, Frasquet-Garcia Antonio, Booth Catherine, Joseph Stephen R, De Boer Piet G
Department of Trauma and Orthopaedic Surgery, York Hospital, York, UK.
Injury. 2006 Aug;37(8):727-33. doi: 10.1016/j.injury.2005.12.009. Epub 2006 Feb 28.
We present the results of a retrospective review of 50 Müller straight stem total hip replacements performed for femoral neck fracture over a 10-year period.
Between 1992 and 2002, 50 Müller straight stem total hip replacements were performed for femoral neck fracture in 42 female and 8 male patients with a mean age of 74 years.
No hips have required revision surgery. Two patients have suffered early dislocations and there have been three major medical complications. The mean Merle D'Aubigne-Postel score was 15.1. Of the 25 radiographs available for review there were no cases of radiological loosening.
This is further evidence that total hip replacement in the right hands provides good results for the treatment of displaced intracapsular femoral neck fractures. The Müller straight stem gives acceptable results in a select group of patients.
我们展示了对10年间因股骨颈骨折进行的50例 Müller 直柄全髋关节置换术的回顾性研究结果。
1992年至2002年间,42例女性和8例男性患者因股骨颈骨折接受了50例 Müller 直柄全髋关节置换术,平均年龄74岁。
无髋关节需要翻修手术。2例患者发生早期脱位,出现了3例严重医疗并发症。Merle D'Aubigne-Postel平均评分为15.1。在可供复查的25张X线片中,无放射学松动病例。
这进一步证明,在技术熟练的医生手中,全髋关节置换术治疗移位型囊内股骨颈骨折效果良好。Müller 直柄在特定患者群体中能取得可接受的结果。