摘要
目的：探讨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。方法选择于湖北省武汉市武昌医院2012年1-12月行髋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。随访时间为1年。记录两组患者手术时间、手术出血量、骨折愈合时间、Harris髋关节评分，并进行疗效比较。结果联合治疗组手术出血量及骨折愈合时间明显较对照组少，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髋关节评分在术后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）。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（48.0%），差异有统计学意义（P〈0.05）。结论锁定钢板联合钛缆固定系统对治疗髋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，有效恢复髋关节功能，效果明显，具有基层医院推广价值。
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 to strengthen muscle activity, including contraction, joint flexion and extension of joint activities. All pa-tients 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. Results The surgical blood loss and fracture healing time of combined treatment group were obviously less or shorter than those in the control group, compared two groups of surgical blood loss [（403±13） mL vs （566±10） mL] and fracture healing time [（148±10） d vs （179±11） d], the differ-ences were statistically significant （P〈 0.05）. In the combined treatment group, Harris hip joint score at 3 months, 6 months, 1 year after treatment of patients were higher than those in control group, by statistical comparison, the differ-ences were statistically significant [（60.4±2.4） scores vs （41.3±2.0） scores, （71.4±7.5） scores vs （55.7±2.4） scores, （80.8±1.2） scores vs （65.5±1.4） scores, 〈 0.05]. Postoperative follow-up of 1 year, the result of combined treatment group was 88.0%, which was significantly higher than that in the control group （48.0%）, the difference was statistically significant （P〈0.05）. Conclusion Titanium cable fixed system of locking plate for the treatment of hip replacement af-ter fracture around the prosthesis is an ideal method, which can effectively reduce the surgical blood loss, accelerate fracture healing, effectively restore the hip joint function, obviously, it is worthy for popularizing to grassroots hospital.
出处
《中国医药导报》
CAS
2014年第22期43-46,共4页
China Medical Herald
关键词
锁定钢板
钛缆
髋关节置换
术后假体周围骨折
Locking plate
Titanium cable
Hip replacement
Postoperative fracture around the prosthesis
