锁定钢板联合钛缆治疗髋关节置换术后假体周围骨折的效果.docVIP

锁定钢板联合钛缆治疗韻关节置换术后假体周围骨折的效果 ［摘要］目的探讨锁定钢板联合钛缆治疗髓关节置换术后假体周围 骨折的效果。方法 选择于湖北省武汉市武昌医院2012年1?12月行骯 关节置换术后假体周围骨折治疗患者100例，将其随机分为联合治疗组及 对照组，每组各50例。对照组给予单纯的锁定钢板治疗，联合治疗组采 用锁定钢板联合钛缆治疗，术后两组均进行功能锻炼，行肌肉舒缩、关节 屈伸等加强关节的活动。随访吋间为1年。记录两组患者手术吋间、手术 出血量、骨折愈合时间、Harris骯关节评分，并进行疗效比较。结果联 合治疗组手术出血量及骨折愈合吋间明显较对照组少，两组手术出血量 ［(403±13) mL 比(566±10) mL］和骨折愈合时间［(148±10) d 比(179 ±11)d］比较，差异有统计学意义(P 0.05)。联合治疗组患者Harris 髓关节评分在术后3个月、6个月、1年3个不同时间点均高于对照组， 经统计学比较，两组Harris评分［(60.4±2.4)分比(41.3±2.0)分, (71.4±7.5)分比(55.7±2.4)分，(80.8±1.2)分比(65.5 + 1.4) 分］,差异有统计学意义(P 0. 05)o术后1年随访结果显示，联合治疗 组的优良率为88. 0%,明显高于对照组(40%),差异有统计学意义(P〈 0. 05)o结论 锁定钢板联合钛缆固定系统对治疗髓关节置换术后假体周 围骨折是一种较为理想的方法，可有效减少手术出血量，加速骨折愈合， 冇效恢复號关节功能，效果明显，具冇基层医院推广价值。 ［关键词］锁定钢板；钛缆；髓关节置换；术后假体周围骨折 ［屮图分类号］R683. 420. 5 ［文献标识码］A ［文章编号］1673-7210 (2014) 08 (a) -0043-04 Effect of locking plate joint titanium cable in the treatment of prosthesis around fracture after hip arthroplasty CHEN Sen Wuchang Hospital in Wuhan City, Hubei Province, Wuhan 430063, China ［Abstract］ Objective To study the effect of locking plate joint titanium cable in the treatment of prosthesis around fracture after hip arthroplasty? Methods 100 cases of patients with prosthesis around fracture after hip arthroplasty treated in Wuchang Hospital in Wuhan City from January to December 2012 were chosen and randomly divided into combined treatment group and control group, 50 cases in each group. Control group was given simple locking plate treatment, combined treatment group was treated with locking plate joint titanium cable, postoperative function exercise were given t.o strengthen muscle activity, including contraction, joint flexion and extensi on of joint activities? All patients were follow-up for 1 year? Operation time, blood loss, fracture healing time, Harris hip score of patients in the two groups were recorded, and the curative effect was compared. ResuIts The surgical blood loss and fracture healing time of combined treatmenl group were obviously less or shorter than those in the control