国内初次生物型人工髋关节置换后股骨假体周围骨折的Vancouver分型及其治疗分析

doi:10.3969/j.issn.1000-8535.2017.05.016

广州医药 ›› 2017, Vol. 48 ›› Issue (5): 61-68.DOI: 10.3969/j.issn.1000-8535.2017.05.016

国内初次生物型人工髋关节置换后股骨假体周围骨折的Vancouver分型及其治疗分析

刘玉宝, 邹瑞, 林禄攀, 赵清华, 温传阳, 郭玉祥, 林福庆

扬州大学医学院附属六合医院骨二科(南京 211500)

收稿日期:2017-05-05 发布日期:2021-12-01
通讯作者: 林福庆, E-mail:linfuqin2006@163.com
基金资助:
南京市科技发展计划项目(201605072)

Vancouver parting of periprosthetic femur fracture after the first civil biological artificial hip arthroplasty and treatment

LIU Yubao, ZOU Rui, LIN Lupan, ZHAO Qinghua, WEN Chuanyang, GUO Yuxiang, LIN Fuqing

Received:2017-05-05 Published:2021-12-01

摘要/Abstract

摘要： 通过文献检索,对2001—2016年我国学者在国内发表的有关人工髋关节置换后假体周围骨折的Vancouver分型及其治疗方法进行汇总、归纳和分析, 总结分析国内初次生物型人工髋关节术后假体周围骨折病例的Vancouver分型及其不同治疗方法的优良率,为临床决策中选择适合的手术方法提供一定的参考借鉴。共有 117 篇文献入选,统计结果显示入选病例数前三位的省份分别是河南220例占13.3%,上海173例占10.5%,江苏163例占9.9%;Vancouver分型中A型骨折201例占12.2%,B型骨折1226例占74.4%,C型骨折221例占13.4%。AG型骨折行记忆合金环抱器或钢丝环扎+植骨治疗,AL型骨折行翻修+锁定钢板+钢丝或翻修+锁定钢板+植骨治疗,疗效显著;B1、B2、B3型骨折分别采用加压钢板+植骨、翻修+钢板+钢丝+植骨、翻修+记忆合金环抱器+植骨治疗,术后平均优良率可达100%;C 型骨折治疗方法较多,如LISS钢板+植骨、锁定钢板+钢丝、股骨髁钢板+钢缆+植骨、动力髋钢板+钢丝,疗效均较满意。我国人工髋关节置换术地区间开展不平衡,应根据Vancouver 分型,综合考虑患者骨折类型、骨折位置、假体稳定性、骨量丢失情况等提出个体化的治疗方案,提高临床疗效。

关键词: 生物型, 髋关节置换, 假体周围骨折, Vancouver分型

刘玉宝, 邹瑞, 林禄攀, 赵清华, 温传阳, 郭玉祥, 林福庆. 国内初次生物型人工髋关节置换后股骨假体周围骨折的Vancouver分型及其治疗分析[J]. 广州医药, 2017, 48(5): 61-68.

LIU Yubao, ZOU Rui, LIN Lupan, ZHAO Qinghua, WEN Chuanyang, GUO Yuxiang, LIN Fuqing. Vancouver parting of periprosthetic femur fracture after the first civil biological artificial hip arthroplasty and treatment[J]. Guangzhou Medical Journal, 2017, 48(5): 61-68.

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国内初次生物型人工髋关节置换后股骨假体周围骨折的Vancouver分型及其治疗分析

Vancouver parting of periprosthetic femur fracture after the first civil biological artificial hip arthroplasty and treatment

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