采用组合式髋关节假体挽救失败的髋关节骨折内固定术。
Salvage of failed hip osteosynthesis for fractures with modular hip prosthesis.
作者信息
Karampinas Panagiotis K, Kollias George, Vlamis John, Papadelis Eustratios A, Pneumaticos Spiros G
机构信息
III Orthopaedic Department, KAT Hospital, University of Athens Medical School, 2 Nikis Str., Kifissia, 14561, Athens, Greece,
出版信息
Eur J Orthop Surg Traumatol. 2015 Aug;25(6):1039-45. doi: 10.1007/s00590-015-1622-5. Epub 2015 Mar 10.
BACKGROUND/PURPOSE: Treating options of failed internal fixation include revision fixation and salvage arthroplasty. The purpose of this study was to evaluate the results, complications and the final functional outcome associated with modular hip arthroplasty.
METHODS
Modular arthroplasty was performed in 11 patients due to failed treatment of peritrochanteric fracture. Each patient examination included Trendelenburg test, Harris Hip Score, SF-36, and X-rays of the hip. Examinations were recorded and a paired t test was applied for further statistic analysis.
RESULTS
Two years postoperatively, four patients referred no hip pain, seven patients claimed for slight or mild pain, and three patients presented with moderate pain. Statistical analysis revealed a statistically significant difference equally for Harris Hip Score and SF-36.
CONCLUSION
The use of modular stems during salvage arthroplasty can decrease the risk of intraoperative and postoperative complications. The final outcome for the patient is satisfactory with functional improvement of the hip.
背景/目的：内固定失败后的治疗选择包括翻修固定和挽救性关节成形术。本研究的目的是评估模块化髋关节置换术的结果、并发症及最终功能结局。
方法
因转子周围骨折治疗失败，对11例患者实施了模块化关节成形术。对每位患者的检查包括单腿站立试验、Harris髋关节评分、SF-36以及髋关节X线检查。记录检查结果，并应用配对t检验进行进一步的统计学分析。
结果
术后两年，4例患者无髋关节疼痛，7例患者称有轻微疼痛，3例患者有中度疼痛。统计学分析显示，Harris髋关节评分和SF-36均有统计学意义上的显著差异。
结论
在挽救性关节成形术中使用模块化柄可降低术中和术后并发症的风险。患者的最终结局令人满意，髋关节功能得到改善。
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