骨水泥强化Y-STRUT内固定治疗骨质疏松性股骨颈隐匿骨折Percutaneous bone cement enhanced Y-STRUT device for occult osteoporotic femoral neck fractures
赖玉珠;吕辉照;赵枫;曹杰;张爱玲;
摘要(Abstract):
[目的]探讨骨水泥强化Y-STRUT内固定系统治疗骨质疏松性股骨颈隐匿性骨折的近期疗效。[方法]2015年1月~2017年2月,本院骨科共收治骨质疏松性股骨颈隐匿性骨折15例,均接受股骨颈Y-STRUT骨水泥强化内固定治疗。其中男4例,女11例;年龄59~80岁,平均(71.42±7.04)岁。骨密度T值-2.5SD~-3.3SD,平均(-3.06±0.20)SD。所有患者标准骨盆正位X线片均为阴性,均通过CT或MRI确诊。按Garden分型,骨折均为I型。记录评估手术时间、出血量、骨水泥注射量、住院时间、VAS评分与髋关节Harris功能评分。[结果]所有患者均顺利手术,手术时间35~65 min,平均(48.00±14.82)min;出血量10~30 ml,平均(16.22±4.40)ml。骨水泥注射量6~15 ml,平均(9.23±2.01)ml。住院时间:3~11 d,平均(5.38±1.18)d。所有患者均获得随访12~23个月,平均(14.20±1.80)个月。术后各时间点负重时的VAS评分均较术前显著减少,差异有统计学意义(P<0.05);但术后各时间点间VAS评分比较,差异无统计学意义(P>0.05)。各时间点髋关节Harris功能评分比较,差异无统计学意义(P>0.05)。[结论]对于骨质疏松性股骨颈隐匿性骨折,Y-STRUT骨水泥强化内固定系统具有快速止痛和早期负重的优点,是一种安全、操作简单的治疗手段。
关键词(KeyWords): 骨质疏松症;股骨颈骨折;隐匿性骨折;骨水泥强化
基金项目(Foundation):
作者(Author): 赖玉珠;吕辉照;赵枫;曹杰;张爱玲;
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DOI:
参考文献(References):
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