Chen Yi-Te, Chen Wei-Ming, Lee Kung-Sheng, Huang Ching-Kuei, Chiang Chao-Ching, Chen Tain-Hsiung
Department of Orthopedics and Traumatology, Shin Kong Wu Ho-Su Memorial Hospital, and Department of Surgery, National Yang-Ming University, Taipei, Taiwan.
J Arthroplasty. 2008 Feb;23(2):241-6. doi: 10.1016/j.arth.2007.03.042. Epub 2007 Nov 7.
Between 1997 and 2004, 18 patients (8 men and 10 women, with a mean age of 73.2 years) with failed treatment of intertrochanteric hip fractures underwent hip arthroplasty as salvage procedures at our institution. Cementless, 5/8-porous coated, 6-in. primary diaphyseal locking femoral stems were used. Prospective follow-up ranging from 2 to 5 years (mean, 37.1 months) showed improvement of hip function without prosthesis loosening. Complications included 1 case of postoperative infection, 2 cases of dislocation, and 2 cases of stem subsidence. The clinical results were satisfactory. The 5/8-porous coated, 6-in. cementless femoral stems could be used in the salvage procedures for failed fixation of intertrochanteric hip fractures.
1997年至2004年间，18例（8例男性和10例女性，平均年龄73.2岁）转子间髋部骨折治疗失败的患者在我院接受了髋关节置换术作为挽救手术。采用非骨水泥型、5/8多孔涂层、6英寸的股骨干原发性锁定柄。前瞻性随访时间为2至5年（平均37.1个月），结果显示髋关节功能改善且无假体松动。并发症包括1例术后感染、2例脱位和2例柄下沉。临床结果令人满意。5/8多孔涂层、6英寸的非骨水泥股骨干柄可用于转子间髋部骨折内固定失败的挽救手术。
