記憶合金抓握式接骨板結合自體髂骨植骨治療Vancouver B1型股骨假體周圍骨折_《華西醫學》

作者：

李程旭 , 范洪武 , 高天敏

關鍵詞：

人工髖關節置換股骨假體周圍骨折記憶合金抓握式接骨板自體髂骨植骨

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目的　探討人工髖關節置換術后Vancouver B1型股骨假體周圍骨折的治療方法。方法　2006年4月－2011年2月采用記憶合金抓握式接骨板固定結合自體髂骨植骨治療6例Vancouver B1型股骨假體周圍骨折。其中男2例，女4例；年齡55～78歲，平均68.5歲。6例均為初次行人工關節置換術后6個月～3年，平均18.4個月發生假體周圍骨折；骨折至手術時間為3～6 d，平均4.2 d。結果　術后切口均Ⅰ期愈合，無深靜脈血栓形成、肺部感染、肺栓塞等并發癥發生。6例均獲隨訪，隨訪時間13個月～4年，平均28.6個月。X線片示骨折全部愈合，愈合時間12～20周，平均14.8周。末次隨訪時Harris評分76～93分，平均83.6分；獲優3例，良3例。無1例出現接骨板折斷、松動，骨折再移位、骨不連、股骨假體松動等并發癥。結論　記憶合金抓握式接骨板結合自體髂骨植骨治療Vancouver B1型股骨假體周圍骨折具有固定可靠、操作簡便的特點，可獲滿意臨床療效。

引用本文： 李程旭,范洪武,高天敏. 記憶合金抓握式接骨板結合自體髂骨植骨治療Vancouver B1型股骨假體周圍骨折. 華西醫學, 2012, 27(12): 1849-1851. doi: 復制

1.	Lindahl H, Garellick G, Regnér H, et al.Three hundred and twenty-one periprosthetic femoral[J]. J Bone Joint Surg (Am), 2006, 88(6): 1215-1222.
2.	Duncan CP, Masri BA. Fractures of the femur after hip replacement[J] .Instr Course Lect, 1995, 44: 293-304.
3.	Steinberg ME, Garino JP.Revision total hip arthrop-lasty[M].Lippincott: Williams & Wilkins, 1999: 493-503.
4.	張向臣, 李春龍, 劉成文, 等.應用異體皮質骨板及鋼纜治療股骨假體周圍骨折[J].中國骨質疏松雜志, 2010, 16(6): 442-443.
5.	Ahuja S, Chatterji S. The mennen femoral plate for fixation of periprosthetie femoral fractures following hip arthmplasty[J]. Injury, 2002, 33(1): 47-50．.
6.	Noorda RJ, Wuisman PI. Mennen plate fixation for the treatment of periprosthetic femoral fractures[J]. J Bone Joint Surg (Am), 2002, 84(2): 2211-2215.
7.	Haddad FS, MarstonRA, Muirhead-Allwood SK. The Dali-Miles cable and plate system for periprosthetic femoral fractures[J]．Injury, 1997, 28(7): 445-447.
8.	Shah N, McCabe J. Dall-Miles cable and plate system for periprosthetic femoral fracture[J]. Eur J Orthop Surg Traumatol, 2002, 12(3): 137 -139.
9.	Anakwe RE, Aitken SA, Khan LA.Osteoporotic periprosthetic fracture of the femur in elderly patients:outcome after fixation with the LISS plate[J]. Injury, 2008, 39(10): 1191-1197.
10.	Currall V, Thomason K, Eastaugh-Waring S, et al. The use of LISS femoral locking plates and cabling in the treatment of periprosthetic fractures around stable proximal femoral implants in elderly patients[J]. Hip Int, 2008, 18(3): 207-211.
11.	Kobbe P, Klemm R, Reilmann H, et al. Less invasive stabilisation system (LISS) for the treatment of periprosthetic femoral fractures: a 3-year follow-up[J]．Injury, 2008, 39(4): 472-479.
12.	Cebesoy O, Kose KC. Periprosthetic fractures of femur: LISS plate[J]. Arch Orthop Trauma Surg, 2006, 126(6): 427-428.

1. 　Lindahl H, Garellick G, Regnér H, et al.Three hundred and twenty-one periprosthetic femoral[J]. J Bone Joint Surg (Am), 2006, 88(6): 1215-1222.
2. 　Duncan CP, Masri BA. Fractures of the femur after hip replacement[J] .Instr Course Lect, 1995, 44: 293-304.
3. 　Steinberg ME, Garino JP.Revision total hip arthrop-lasty[M].Lippincott: Williams & Wilkins, 1999: 493-503.
4. 　張向臣, 李春龍, 劉成文, 等.應用異體皮質骨板及鋼纜治療股骨假體周圍骨折[J].中國骨質疏松雜志, 2010, 16(6): 442-443.
5. 　Ahuja S, Chatterji S. The mennen femoral plate for fixation of periprosthetie femoral fractures following hip arthmplasty[J]. Injury, 2002, 33(1): 47-50．.
6. 　Noorda RJ, Wuisman PI. Mennen plate fixation for the treatment of periprosthetic femoral fractures[J]. J Bone Joint Surg (Am), 2002, 84(2): 2211-2215.
7. 　Haddad FS, MarstonRA, Muirhead-Allwood SK. The Dali-Miles cable and plate system for periprosthetic femoral fractures[J]．Injury, 1997, 28(7): 445-447.
8. 　Shah N, McCabe J. Dall-Miles cable and plate system for periprosthetic femoral fracture[J]. Eur J Orthop Surg Traumatol, 2002, 12(3): 137 -139.
9. 　Anakwe RE, Aitken SA, Khan LA.Osteoporotic periprosthetic fracture of the femur in elderly patients:outcome after fixation with the LISS plate[J]. Injury, 2008, 39(10): 1191-1197.
10. 　Currall V, Thomason K, Eastaugh-Waring S, et al. The use of LISS femoral locking plates and cabling in the treatment of periprosthetic fractures around stable proximal femoral implants in elderly patients[J]. Hip Int, 2008, 18(3): 207-211.
11. 　Kobbe P, Klemm R, Reilmann H, et al. Less invasive stabilisation system (LISS) for the treatment of periprosthetic femoral fractures: a 3-year follow-up[J]．Injury, 2008, 39(4): 472-479.
12. 　Cebesoy O, Kose KC. Periprosthetic fractures of femur: LISS plate[J]. Arch Orthop Trauma Surg, 2006, 126(6): 427-428.

《華西醫學》

記憶合金抓握式接骨板結合自體髂骨植骨治療Vancouver B1型股骨假體周圍骨折

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《華西醫學》

記憶合金抓握式接骨板結合自體髂骨植骨治療Vancouver B1型股骨假體周圍骨折

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

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