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| The Clinical Status of Hip Ankylosis after Internal Fixation for Hip Fracture and the Second Selection of Retreatment Plan |
| YANG Yi, WEN Junen, ZHAO Hai, et al |
| The Second Affiliated Hospital of Hainan Medical College, Hainan Haikou 570311, China |
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Abstract Objective: To research the clinical status of hip ankylosis after internal fixation for hip fracture and the selection of retreatment plan. Methods: The medical records of 82 elderly patients with hip ankylosis after fracture fixation were analyzed retrospectively. According to the different treatment plan, they were divided into the hip replacement group (50 cases) and the re internal fixation group (32 cases). Analyzed the causes of postoperative ankylosis and the choice of retreatment regimen, and compared the clinical efficacy and prognosis of the two retreatment regimens. Result: The main causes of ankylosis after internal fixation were screw loosening, head and neck cutting, poor fracture healing or osteonecrosis of the femoral head. In the choice of re treatment plans, most patients were selected partial fracture healed again. The patients with nonunion or necrosis of the femoral head were all selected for total hip replacement. There were no significant differences in the hip function score and barthel score at each time point after treatment in two differcet re treatment plans, and the differences were not statistically significant, the differences were not statistically significant (P>0.05). During the follow-up period, there were no complications such as deep vein thrombosis, infection, loosening and subsidence of the prosthesis, and the two treatments were safe and reliable. Conclusion: Artificial total hip replacement or secondary internal fixation can help patients to promote fracture healing, eliminate joint stiffness, so as to restore hip function as soon as possible. The appropriate treatment should be selected according to the actual situation of the patients.
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[1] 徐诗雄,洪顺红,孙文栋,等.老年股骨粗隆间骨折术后髋关节功能恢复的影响因素[J].中国老年学杂志,2014,34(12):3353~3355.
[2] 周朝波.人工髋关节置换术治疗老年髋关节骨折内固定失败的临床研究[J].现代中西医结合杂志,2015,24(16):1753~1755.
[3] 林浩.股骨粗隆间骨折患者行内固定手术后的髋关节骨密度分析[J].中国医药导刊,2015,17(5):443~444.
[4] 程鹏,王玮琪.骨折内固定术与全髋关节置换术治疗老年股骨颈骨折的临床效果比较[J].中华全科医学,2016,14(4):689~691.
[5] Jo WL, Lee YK, Ha YC, et al. Preventing venous thromboembolism with use of Intermittent pneumatic compression after total hip arthroplasty in korean patients[J]. Korean Med Sci. 2016, 31(8):1319~1323.
[6] 戴军,赵鉴非,佟刚,等.老年髋部骨折内固定与人工髋关节置换术的临床疗效比较[J].创伤外科杂志,2016,18(2):105~108.
[7] Rietbergen L, Kuiper JW, Walgrave S, et al. Quality of life after staged revision for infected total hip arthroplasty: a systematic review[J]. Hip Int. 2016, 26(4):311~318.
[8] 冯明利,沈惠良,曹光磊,等.人工髋关节置换术治疗髋部骨折内固定失败的临床研究[J].中国骨与关节损伤杂志,2014,29(2):121~123.
[9] 朱顺,李保良,王虎,等.全髋关节置换术治疗股骨颈骨折空心钉内固定失败的疗效分析[J].中国伤残医学,2016,24(10):9~11. |
| [1] |
. [J]. 河北医学, 2016, 22(10): 1713-1715. |
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2018, Vol. 24 
