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用于股骨转子间骨折髋关节置换术中防止大转子移位的骨水泥填充技术：技术说明

Cement Filling Technique to Prevent Greater Trochanter Displacement in Hip Arthroplasty for Femoral Intertrochanteric Fracture: A Technical Note.

作者信息

Choi Byung-Chan, Lee Kyung-Jae, Son Eun-Seok, Min Byung-Woo

机构信息

Department of Orthopedic Surgery, Keimyung University Dongsan Hospital, Daegu, Korea.

出版信息

Hip Pelvis. 2024 Sep 1;36(3):223-230. doi: 10.5371/hp.2024.36.3.223.

DOI:10.5371/hp.2024.36.3.223
PMID:39210576
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11380537/
Abstract

With the increasing use of primary hip arthroplasty for management of intertrochanteric fractures, firm fixation and union of the greater trochanteric (GT) fragment are required during hip arthroplasty for management of intertrochanteric fractures. Various methods have been suggested to address this issue. However, displacement of the GT is a frequent occurrence. We have introduced a cement-filling technique for performance of hip arthroplasty of the proximal femur for achievement of immediate firm fixation of the GT. Cement filling during performance of hip arthroplasty for management of femoral intertrochanteric fractures is a valuable technique for preventing displacement of the GT and to encourage early mobilization.

摘要

随着初次髋关节置换术用于治疗股骨转子间骨折的情况日益增多，在髋关节置换治疗股骨转子间骨折时，需要实现大转子（GT）骨折块的牢固固定和愈合。已经提出了各种方法来解决这个问题。然而，GT移位是经常发生的情况。我们引入了一种骨水泥填充技术，用于近端股骨的髋关节置换术，以实现GT的即刻牢固固定。在髋关节置换治疗股骨转子间骨折时进行骨水泥填充，是防止GT移位并促进早期活动的一项有价值的技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc85/11380537/1d3fcfb62221/hp-36-3-223-f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc85/11380537/8980d45c592e/hp-36-3-223-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc85/11380537/41ac82684cf9/hp-36-3-223-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc85/11380537/16e91c152326/hp-36-3-223-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc85/11380537/592d2162558e/hp-36-3-223-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc85/11380537/0a6f8ea3889b/hp-36-3-223-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc85/11380537/15f8daac225c/hp-36-3-223-f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc85/11380537/1d3fcfb62221/hp-36-3-223-f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc85/11380537/8980d45c592e/hp-36-3-223-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc85/11380537/41ac82684cf9/hp-36-3-223-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc85/11380537/16e91c152326/hp-36-3-223-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc85/11380537/592d2162558e/hp-36-3-223-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc85/11380537/0a6f8ea3889b/hp-36-3-223-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc85/11380537/15f8daac225c/hp-36-3-223-f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc85/11380537/1d3fcfb62221/hp-36-3-223-f7.jpg

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本文引用的文献

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Hip Pelvis. 2023 Jun;35(2):99-107. doi: 10.5371/hp.2023.35.2.99. Epub 2023 Jun 2.
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Comparison of Cephalomedullary Nails with Sliding Hip Screws in Surgical Treatment of Intertrochanteric Fractures: A Cumulative Meta-Analysis of Randomized Controlled Trials.交锁髓内钉与滑动髋螺钉治疗股骨转子间骨折的比较：一项随机对照试验的累积荟萃分析。
Clin Orthop Surg. 2023 Apr;15(2):192-202. doi: 10.4055/cios22103. Epub 2023 Jan 25.
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Are Intertrochanteric Fractures Evolving? Trends in the Elderly Population over a 10-Year Period.
股骨转子间骨折在演变吗？10 年间老年人群的趋势。
Clin Orthop Surg. 2022 Mar;14(1):13-20. doi: 10.4055/cios20204. Epub 2022 Feb 15.
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Total hip arthroplasty for intertrochanteric fracture fixation failure.全髋关节置换术治疗转子间骨折固定失败。
Eur J Med Res. 2019 Dec 27;24(1):39. doi: 10.1186/s40001-019-0398-1.
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Selecting Arthroplasty Fixation Approach Based on Greater Trochanter Fracture Type in Unstable Intertrochanteric Fractures.基于不稳定型股骨转子间骨折大转子骨折类型选择关节置换固定方法
Hip Pelvis. 2019 Sep;31(3):144-149. doi: 10.5371/hp.2019.31.3.144. Epub 2019 Aug 29.
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