摘要
[目的]评价肱骨近端锁定钢板(proximal humeral internal locked system plate,PHILOS)固定Vancouver B1和B2型股骨假体周围骨折的临床疗效。[方法]2017年9月—2019年1月采用PHILOS固定Vancouver B1和B2型股骨假体周围骨折7例,其中B1型5例,B2型2例;男5例,女2例;年龄57~86岁,平均(71.71±9.11)岁。[结果]本组7例患者均顺利完成手术,术后无切口感染以及深静脉血栓形成等严重并发症。7例患者随访12~24个月,平均(17.29±3.86)个月。随术后时间推移,患者的Harris评分显著增加(P<0.05)。末次随访时,5例能够自由行走,2例需要借助步行器完全负重行走。影像方面,所有患者股骨假体周围骨折均愈合,股骨假体无松动,PHILOS无失效。[结论]PHILOS应用在Vancouver B1和B2型股骨假体周围骨折的治疗中,其手术更简单,医疗费用支出更少。
[Objective]To evaluate the clinical efficacy of proximal humeral internal locked system plates(PHILOS)for internal fixation of Vancouver type B1 and B2 periprosthetic femoral fractures.[Methods]From September 2017 to January 2019,7 patients had periprosthetic femoral fractures fixated with PHILOS plate,including 5 cases of Vancouver type B1 and 2 cases of type B2.Of them,5 males and 2 females aged 57 to 86 years with an average of(71.71±9.11)years.[Results]All the 7 patients were successfully operated on without serious complications,such as postoperative incision infection and deep venous thrombosis.The patients were followed up for 12~24months,with an average of(17.29±3.86)months.The Harris scores increased significantly over time postoperatively(P<0.05).At the latest follow-up,5 patients were able to walk freely,while the remaining 2 patients resumed full weight-bearing walking with the aid of a walker.Radiographically,all patients had periprosthetic fractures healed,without loosening of the femoral prosthesis,and with no failure of PHILOS plate.[Conclusion]The PHILOS plate used for the treatment of Vancouver type B1 and B2 periprosthetic femoral fractures has benefits of simplifying surgical operation and decreasing medical cost.
作者
钱文杰
恽常军
梅凯
朱小国
张晨曦
QIAN Wen-jie;YUN Chang-jun;MEI Kai;ZHU Xiao-guo;ZHANG Chen-xi(Department of Joint Surgery,Wujin Hospital,Jiangsu University,Changzhou 213002,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2022年第14期1322-1324,共3页
Orthopedic Journal of China
