Schätzler A, Möllers M, Stedtfeld H W
Klinik für Unfallchirurgie, Klinikum, Nürnberg-Süd.
Zentralbl Chir. 1997;122(11):1028-32.
In our hospital 334 patients were treated with a bipolar prosthesis for medial femoral neck fracture in the years 1990 and 1991. After an average of 54 months (minimum 48 months) informations about function could be obtained by examination and x-ray from 19 patients (5.7%), from 42 patients (12.6%) a questionnaire was analyzed. No function of the hip was described as poor, 2/3 of the patients had no pain, nearly 50% walked without crutches or other tools. No protrusio acetabuli or acetabular erosion was seen. Together with further follow-up examinations from another 230 patients out of 1365 patients treated with a bipolar prosthesis up to now, these results support the statement that bipolar prostheses play an important role in treatment of medial femoral neck fractures in the elderly.
1990年和1991年期间,我院有334例患者接受了双极假体治疗股骨颈内侧骨折。平均54个月(最短48个月)后,通过检查和X光从19例患者(5.7%)中获取了功能信息,对42例患者(12.6%)的问卷进行了分析。未发现髋关节功能差的情况,三分之二的患者无疼痛,近50%的患者无需拐杖或其他辅助工具行走。未发现髋臼突出或髋臼侵蚀。结合目前1365例接受双极假体治疗的患者中另外230例患者的进一步随访检查结果,这些结果支持双极假体在老年股骨颈内侧骨折治疗中起重要作用这一观点。