双极半关节置换术治疗不稳定骨质疏松性股骨粗隆间骨折

Nitin Sanadhya
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摘要

导言:随着人类预期寿命的增加,老年人口也在增加,骨质疏松性股骨粗隆骨折越来越普遍,这对恢复患者术前活动状态产生了挑战,因此采用骨水泥双极关节置换术作为动态螺钉固定的替代方法。Harris髋关节评分在一年内的不同时间间隔进行评估。材料与方法:本研究是一项前瞻性研究,纳入25例不稳定股骨粗隆间骨折(按Evans分类)合并骨质疏松患者,评估采用双极骨水泥假体治疗。结果:Harris髋关节评分一年后平均为78.86分。讨论:Harris髋关节评分在术后达到满意水平,并在前6周内得到改善,随后稳定至1年。结论:作者认为骨水泥双极半关节置换术是治疗骨质疏松不稳定性转子间骨折的有效方法。关键词:转子间骨折,双极假体,骨质疏松症
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Bipolar Hemi Arthroplasty for Unstable Osteoporotic Inter-Trochanteric Fractures of Femur
Introduction: As the life expectancy of people is increasing  , old age population is also increasing and trochanteric fractures with osteoporosis are getting commoner and producing challenge of regaining people there pre operative activity status for which a cemented bipolar arthroplasty was performed  as an alternative to osteosynthesis by Dynamic screws . Harris hip score was assesed at various intervals within a year. Materials and Methods: This is a  prospective study including 25 cases of unstable intertrochantric fracture (classified according to Evans classification) with osteoporosis treated with cemented bipolar prosthesis assessed Result: The mean Harris hip Score was 78.86 by the end of one year. Discussion: The Harris hip score was  at satisfactory level post op and improved over the first six weeks , later it stabilzes till one year Conclusion: The authors believe cemented bipolar hemiarthroplasty is a useful in osterporotic ustable intertrochantric fractures. Keywords: intertrochantric fractures, bipoar prosthesis, osteoporosis
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