人工关节置换术治疗高龄患者创伤性股骨头坏死.pdfVIP

大会发言三 髋、肩、肘部严重骨折内固定／假体专题 同程度的骨关节炎，这就可以减少手术后髋关节的疼痛和降低脱位的风险。在两种手术治疗后的髋关 节优良率来看，虽然比较接近，但人工股骨头置换组的优良率高于DHS组。④小转子及其上方的股骨距 是假体稳定和防止术后下沉的重要因素，术中应对小转子及股骨距尽量保留，用钢丝或捆扎带固定。 对于因粉碎严重而无法保留的小转子及股骨距可暂时切除备植骨用，用骨水泥塑形股骨距托住假体， 再准备用的股骨距及小转子碎块拼植于骨水泥外，用钢丝或捆扎带固定，通过外骨痂达到愈合∞1。大 转子间是多组臀肌的附着点，术中必须保留可用钢丝“8”字捆扎固定。 附： Artificialfemoralhead withDHSinternalfixationof Patientswith replacementcompared aged intertrochantericfractures -A Randomized Metaphase，Prospective，Study TONGPEIJIAN HANGBOJIWEIFENGZHANGJIANHUASHENJINWEN QU to theresultsof [ABSTRACT] The ofthis was ObjectivepurposeinvestigationProspectivecompare artificial femoralhead withthoseoftreatmentwithaDHSinternalfixationforunstable replacement intertrochantericfracturesin casesof withintertrochanteric elderlypatients．MethodsSixty-oneagedpatients fiactureswererandomizedintotwotreatment werefollowedforaminimumoffour from groups。Allpatients years ·9．1999tO were with 4．2003，29weretreatedwithartificialfemoralhead other treated patients replacement，the DHSinternalfixation．Theclinicalresultsoftwoforthetreatmentof withintertrochanteric ways agedpatients fractureswereobserved．ResultsTherewereno differencesbetweenthe intermsof significant groups functionaloutcomes，bloodlOSS，ortinitsofbloodtransfused．Patientstreatedwithartificialfemoralhead hadashorter and timer lesstimeto fewer replacement hospitalstay operative weight-bearing，general