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股骨颈骨折行人工髋关节置换的偏心距调整与术后相关并发症分析
引用本文:刘荆陵,袁仕炜,童伟林,张锡平,曾伟. 股骨颈骨折行人工髋关节置换的偏心距调整与术后相关并发症分析[J]. 医学临床研究, 2010, 27(7): 1251-1253
作者姓名:刘荆陵  袁仕炜  童伟林  张锡平  曾伟
作者单位:湖南省株洲市一医院创伤骨科,湖南,株洲,412000;湖南省株洲市一医院创伤骨科,湖南,株洲,412000;湖南省株洲市一医院创伤骨科,湖南,株洲,412000;湖南省株洲市一医院创伤骨科,湖南,株洲,412000;湖南省株洲市一医院创伤骨科,湖南,株洲,412000
摘    要:【目的】探讨老年性股骨颈骨折行人工髋关节置换术后并发症的发生与股骨偏心距重建的关系。【方法】通过32例(32髋)完整病例进行回顾性研究,结合文献分析股骨偏心距重建与否和术后并发症发生的关系。【结果】本组32例术后相关并发症主要有髋关节脱位(2例)、遗留关节疼痛(1例)、假体松动(1例)。【结论】在股骨颈骨折中行全髋关节置换治疗中重建股骨偏心距可明显减少术后相关并发症的发生。

关 键 词:股骨颈骨折/外科学  关节成形术  置换  

Regulation of Femoral Offset of Total Hip Replacement of Femoral Neck Fracture and Postoperative Complications
Affiliation:LIU Jing-ling, YUAN Shi-wei, TONG Wei-lin ,et al ( Department of Orthopaedics, First People's Hospital of Zhuzhou City, Hunan 412000,China )
Abstract:[Objective]To explore the relationship between the incidence of complications of total hip re- placement(THR) of femoral neck fracture in the elderly patients and restoration of femoral offset.[Methods] Three-two complete cases of total hip replacement(32 hips) were studied retrospectively. The relationship between restoration of femoral offset and postoperative complications were analyzed. [Results]The major postoperative complications were dislocation of hip joint(2 cases), remained joint pain(1 case) and loose prosthesis(1 cases). [Conclusion] The restoration of femoral offset of total hip replacement of femoral neck fraction can ob- viously reduce the incidence of postoperative complications.
Keywords:femoral neck fracture/SU  arthroplasty,replacement,hip
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