Montijo H, Ebert F R, Lennox D A
Orthopaedic Surgery Service, Eisenhower Army Medical Center, Fort Gordon, Georgia 30905-5650.
J Arthroplasty. 1989;4(2):115-23. doi: 10.1016/s0883-5403(89)80063-4.
The authors reviewed seven cases of proximal femur fractures with ipsilateral total hip arthroplasty between April 1985 and July 1987. All patients had ORIF with Odgen plates and Parham bands. Early mobilization of the patients avoided prolonged bedrest with its inherent morbidity. The morbidity of a revision of the total hip arthroplasty was also avoided. There were no problems with healing of the fractures sites and no evidence of devascularization related to Parham band utilization. All seven type A fractures went to clinical and radiographic union by 4 months and all seven were asymptomatic. The authors recommend the use of Ogden plates and Parham bands for type A fractures. Their clinical data suggest that this method is an effective treatment modality that produces a decrease in morbidity with satisfactory results.
作者回顾了1985年4月至1987年7月间7例同侧全髋关节置换术合并股骨近端骨折的病例。所有患者均采用奥格登钢板和帕勒姆带进行切开复位内固定。患者的早期活动避免了长期卧床及其固有并发症。同时也避免了全髋关节置换术翻修的并发症。骨折部位愈合良好，没有证据表明使用帕勒姆带会导致血管化受损。所有7例A型骨折在4个月时均达到临床和影像学愈合，且所有患者均无症状。作者推荐对A型骨折使用奥格登钢板和帕勒姆带。他们的临床数据表明，这种方法是一种有效的治疗方式，可降低并发症发生率并取得满意效果。
