双锥面高抛光股骨柄治疗老年股骨颈骨折临床应用.pdfVIP

中华损伤与修复杂志( 电子版)2009年第4卷第3期ChinJInjuryRepairandWound Healing(Electronic Edition), June2009,Vol4,No.3 ·307 ·　　 双锥面高抛光股骨柄治疗老年股骨颈骨折 ·论著 的临床应用 董军政 孙智文 李延明 王利民 申海波 何久胜 张国鑫 作者简介：董军政，男，生于1970年，1993年毕业于首都医科大学，本科学 历，现于北京市顺义区医院工作，副主任医师，从事四肢创伤骨科及关节外科工 作。 【摘要】 目的 探讨抛光型股骨柄假体在老年股骨颈骨折假体置换中 的应用。方法 使用双锥面高抛光股骨柄假体固定治疗老年股骨颈骨折患者 63例，股骨假体固定采用第二代骨水泥技术，分析其临床效果。结果术后 随访3个月，根据髋关节X线片。所有患者均无髋关节脱位发生。双下肢长 度差异为(3. １±1.2) ｍｍ。术后3个月髋关节Harris 评分为(86±10)分。结 论 抛光型股骨柄假体通过其在假体设计和假体固定上的改进，可以比较好 地解决老年人股骨颈骨折假体置换中所遇到的假体固定困难等问题。 【关键词 】抛光型股骨柄假体；股骨颈骨折；髋关节置换 Polished cemented stem for hip arthroplasty in aged patients with femoral neck fracture DON G Jun-zheng, SUN Zhi-wen, LI Yan-ming,WANG Li-min, SHEN Hai-b o HE Jiu-sheng, ZHAN G G uo-xin Departmen t of Orthopaedics, The hospital of Shunyi District, Beijing 101300, China 【Abstract 】Objective To explore the application of polishe d cemented stems for hip arthroplasty in old patient s with femoral neck fracture. Methods Sixty-three cases of hip arthroplasty were carried out in Beijing Jishuitan Hospital from March 200 1 to November 2006 for theol d patient s with femoral neck fracture. The mean age of the patient s at the tim e of replacement was 75.3 year s old (ranging from 66 t o 87 years) . The operations wer e done with polished stems which were fixed with the so-called second-generation cementing techniques . Clinical result s were analyzed . Results All patients were followed up 3 month s after operation . Th e quality of cement was evaluated according t o the radiograph of the hip . Fifty-six cases were rated as Grade A and 7 Grade B , without Grade C or D . There was no dislocation of the hip . The difference between the lengths of both lower extremities w as (3.4 ±1.8) 作者单位: 101300 北京顺义区医院（董军政、李延明、王利民、申海波、何久胜、张国鑫）；024000 赤峰市中心医院骨科（孙智文） ·308 ·　　 中华损伤与修复杂志( 电子版)2009年第4