保留外旋肌群微创人工股骨头置换术治疗高龄股骨颈骨折
黄文舟;高贵程;吴建雄;付晓玲;程细高;
摘要(Abstract)：
[目的]探讨保留外旋肌群在后外侧入路股骨头置换术中治疗高龄股骨颈骨折的优点。[方法]2014年1月~2014年6月采用保留外旋肌群的后外侧入路股骨头置换术治疗高龄股骨颈骨折12例。男9例,女3例,年龄78~89岁,平均82岁,术后定期门诊随访,根据X线片、Harris评分及患髋屈曲范围评判其疗效。[结果]全部病例随访9~13个月,平均10个月,所有患者均可早期下床活动,X线片未出现假体脱位、松动、下沉及二次骨折。末次随访Harris评分72~90分,平均85分;优3例,良7例,可2例,优良率83%,患者对治疗效果非常满意。[结论]保留外旋肌群的后外侧入路股骨头置换术治疗高龄股骨颈骨折能达到术后即刻稳定,允许患者早期完全活动,疗效满意。
关键词(KeyWords)： 保留外旋肌群;股骨头置换术;高龄患者;股骨颈骨折
基金项目(Foundation):
作者(Author): 黄文舟;高贵程;吴建雄;付晓玲;程细高;
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DOI:
参考文献(References)：
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