目的 探討人工髖關(guān)節(jié)置換術(shù)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(jié)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(guān)節(jié)置換術(shù)后6個(gè)月～3年，平均18.4個(gè)月發(fā)生假體周圍骨折；骨折至手術(shù)時(shí)間為3～6 d，平均4.2 d。 結(jié)果 術(shù)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(fā)癥發(fā)生。6例均獲隨訪，隨訪時(shí)間13個(gè)月～4年，平均28.6個(gè)月。X線片示骨折全部愈合，愈合時(shí)間12～20周，平均14.8周。末次隨訪時(shí)Harris評(píng)分76～93分，平均83.6分；獲優(yōu)3例，良3例。無1例出現(xiàn)接骨板折斷、松動(dòng)，骨折再移位、骨不連、股骨假體松動(dòng)等并發(fā)癥。 結(jié)論 記憶合金抓握式接骨板結(jié)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(diǎn)，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(jié)合自體髂骨植骨治療Vancouver B1型股骨假體周圍骨折. 華西醫(yī)學(xué), 2012, 27(12): 1849-1851. doi: 復(fù)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(yīng)用異體皮質(zhì)骨板及鋼纜治療股骨假體周圍骨折[J].中國骨質(zhì)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(yīng)用異體皮質(zhì)骨板及鋼纜治療股骨假體周圍骨折[J].中國骨質(zhì)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.