髋关节置换术后股骨骨折治疗的新选择

目的 总结钢板钢缆固定系统在髋关节置换术后股骨骨折治疗中的应用。方法 回顾分析1998年～2002年应用该系统治疗11例临床和影像资料，并对随访结果及影像资料进行评定。结果 8例假体稳定，骨折无畸形愈合；2例假体略微下沉，骨折无畸形愈合；1例钢板断裂内翻畸形，接受二次手术。结论 钢板钢缆固定是治疗髋关节置换术后假体周围骨折的有效方法之一。

New choice for the treatment of periprosthetic femur fracture after hip replacement

Objective To summarize the application of the Cable Plate System in the treatment of periprosthetic femur fracture after hip replacement. Methods The clinical data and image records of 11 patients who underwent reduction and fixation by means of the Cable Plate System from 1998 to 2002 were retrospectively analyzed. The follow-up and X-ray results at different times after operation were evaluated. Results Out of the 11 cases, non-deforming union and stable prosthesis were obtained in 8 cases, non-deforming union and slight subsidence of prosthesis in 2 cases, and, a broken plate and varus malunion occurred in 1 case, in which a second operation was required. Conclusions The Cable Plate System is one of the effective methods in the treatment of periprosthetic femur fracture after hip replacement.