- 期刊
人工髖關節置換手術後發生同側股骨幹骨折治療之臨床經驗
Clinical Experience of the Treatment of Ipsilateral femoral Shaft Fractures after Hip Arthroplasty
摘要
人工髖關節置換手術後，發生同側股骨幹骨折是一少見的問題。本院骨科自民國72年1月至民國78年1月止，六年間共遇到12個這樣的病例。追究其發生的原因大抵有三種，(一)因多次手術以致骨質舒鬆脆弱，(二)於骨折發生之前，人工關節骨柄部份即已出現鬆動現象，(三)巨大之外力撞擊。此12例接受的治療方式大抵分為三類：(一)閉鎖性複位合併石膏，(二)閉放性復位手術合併鋼板內固定，(三)以長骨柄式之人工關節行整復性髖關節置換術。治療後，平均接受追蹤的期間為21.6個月（12到66個月不等），有83.3%的病患其結果尚令人滿意（33.3%： “優” ，50%： “良”）。在此我們僅將不同治療方式之優劣以及短期追蹤之結果提出討論。
關鍵字
無資料並列摘要
Femoral shaft fracture after hip arthrolasty is a rate problem. January 1983 and January 1989, twelves cases were admitted to Taichung Veteran General Hospital. The causes of the fractures were due to (1) a weakening of the bone stock secondary to stress risers from prior surgery, (2) prefracture evidence of looseninng, and (3) high velocity trauma. The twelves cases were treated with different methods and were followed up within an average time of 21.6 months (ranging from 12 to 66 months). After the treatment, it was showed that 83.3% of the patients had satisfactory results (33.3% of the patients has good results and 50% of the patients had fair results.) A comparison of the superiority of different treatment methods and the short term results of this study was presented.
並列關鍵字
femoral fracture延伸閱讀
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