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[旋转股骨头假体治疗老年患者股骨颈内侧骨折的经验]

[Experiences using the rotation femur head prosthesis in the treatment of medial femoral neck fractures in geriatric patients].

作者信息

Ittner G, Jaskulka R, Schedl R

出版信息

Unfallchirurgie. 1986 Aug;12(4):190-3. doi: 10.1007/BF02588456.

DOI:10.1007/BF02588456
PMID:3765189
Abstract

We report upon 167 fractures of the medial femoral neck (166 patients aged 82 years on average) that were treated by hemialloarthroplasty (trunnion hip prosthesis Allo-Pro). 94 patients were followed-up from three to 53 months (average 18 months) postoperatively. 67 patients regained their full physical activity. This operative technique is indicated in fractures with high risk of femoral head necrosis and in patients with reduced physical conditions. We see the advantage of hemialloarthroplasty in the relatively small operative trauma and the possibility of early mobilization.

摘要

我们报告了167例股骨颈内侧骨折(166例患者,平均年龄82岁),这些骨折采用半髋关节置换术(Allo-Pro型耳轴髋关节假体)进行治疗。94例患者在术后3至53个月(平均18个月)进行了随访。67例患者恢复了全部身体活动。这种手术技术适用于股骨头坏死风险高的骨折以及身体状况较差的患者。我们看到半髋关节置换术的优势在于手术创伤相对较小以及早期活动的可能性。

相似文献

1
[Experiences using the rotation femur head prosthesis in the treatment of medial femoral neck fractures in geriatric patients].[旋转股骨头假体治疗老年患者股骨颈内侧骨折的经验]
Unfallchirurgie. 1986 Aug;12(4):190-3. doi: 10.1007/BF02588456.
2
[Femoral neck fracture in the elderly--differential procedure].
Zentralbl Chir. 1995;120(11):850-5.
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[The femoral neck fracture in the elderly patient - cemented or cementless hip arthroplasty?].[老年患者股骨颈骨折——骨水泥型还是非骨水泥型髋关节置换术?]
Zentralbl Chir. 2002 Jun;127(6):514-8. doi: 10.1055/s-2002-32612.
5
[Management of femur neck fractures with femur head prosthesis].[应用股骨头假体治疗股骨颈骨折]
Unfallchirurg. 1986 Aug;89(8):369-74.
6
Treatment of unstable, intracapsular fractures of the femoral neck by the cementless self-locking cephalic endoprosthesis.采用非骨水泥型自锁式股骨头假体治疗股骨颈不稳定囊内骨折。
Acta Chir Belg. 1988 Jan-Feb;88(1):21-5.
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[Femur shaft fractures in artificial hip joint replacement].[人工髋关节置换术中的股骨干骨折]
Zentralbl Chir. 1985;110(12):739-48.
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Zentralbl Chir. 1991;116(8):501-4.
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[Implantation of bipolar prosthesis for treatment of medial femoral neck fractures in the elderly--clinical and radiographic outcome].[双极假体植入治疗老年股骨颈内侧骨折——临床及影像学结果]
Zentralbl Chir. 2008 Dec;133(6):590-6. doi: 10.1055/s-0028-1098711. Epub 2008 Dec 17.
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Long-term follow-up of Austin Moore hemiarthroplasty for femoral neck fractures.奥斯汀·摩尔半髋关节置换术治疗股骨颈骨折的长期随访
J R Coll Surg Edinb. 1988 Dec;33(6):299-302.

引用本文的文献

1
[Risk analysis of primary endoprosthetic management of proximal femur fractures].
Unfallchirurgie. 1994 Aug;20(4):216-22. doi: 10.1007/BF02588715.
2
[Incidence of complications and early mortality in surgical management of coxal femoral fractures].
Langenbecks Arch Chir. 1990;375(3):156-60. doi: 10.1007/BF00206809.

本文引用的文献

1
USE OF THE MOORE SELF-LOCKING VITALLIUM PROSTHESIS IN ACUTE FRACTURES OF THE FEMORAL NECK.摩尔自锁维塔利姆合金假体在股骨颈急性骨折中的应用。
J Bone Joint Surg Am. 1965 Jun;47:832-41.
2
The treatment of displaced fractures of the neck of the femur by compression.股骨颈移位骨折的加压治疗
J Bone Joint Surg Br. 1957 Feb;39-B(1):45-65. doi: 10.1302/0301-620X.39B1.45.
3
[Fractures of the coxal femur end. Development of surgical treatment and rehabilitation (1973-1978)].
Unfallchirurgie. 1983 Jun;9(3):141-5.
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Replacement of femoral head endoprosthesis with total hip prosthesis. A report of five cases with problems of management.股骨头假体置换为全髋关节假体。5例治疗问题报告。
Arch Orthop Trauma Surg (1978). 1983;101(3):187-91. doi: 10.1007/BF00436770.
5
[Causes and frequency of aseptic femur head necrosis following medial femoral neck fractures].[股骨颈内侧骨折后无菌性股骨头坏死的原因及发生率]
Unfallheilkunde. 1984 Aug;87(8):338-43.
6
[Treatment of medial femoral neck fractures with the femur head prosthesis].[采用股骨头假体治疗股骨颈内侧骨折]
Unfallheilkunde. 1984 Aug;87(8):326-30.
7
[Conservative versus surgical therapy of abduction fractures of the femur neck. Results of a clinical follow-up].[股骨颈外展骨折的保守治疗与手术治疗。临床随访结果]
Unfallchirurg. 1985 Jun;88(6):270-3.
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[Indications for isolated femur-head prosthesis].[孤立性股骨头假体的适应证]
Hefte Unfallheilkd. 1975 Nov(126):393-5.
9
[Roentgenologically demonstrated delayed complications in femur neck endoprostheses following femur neck fractures and femur head necrosis and their treatment possibilities].[股骨颈骨折及股骨头坏死后股骨颈假体的X线显示的延迟并发症及其治疗可能性]
Hefte Unfallheilkd. 1975(121):123-7.
10
[Different indications in fractures of the femur neck (author's transl)].
Unfallheilkunde. 1978 Mar;81(3):155-63.