Using Shape Memory Alloy Embracing Fixator and Self-ilium Grafting to Surgically Treat Vancouver Type-B1 Periprosthetic Femoral Fractures_West China Medical Journal

Authors：

LI Chengxu , FAN Hongwu , GAO Tianmin

Department of Orthopedics Surgery, Fengdu County People’s Hospital, Fengdu, Chongqing 408200, P. R. China;

Corresponding author：

Keywords：

人工髋关节置换; 股骨假体周围骨折; 记忆合金抓握式接骨板; 自体髂骨植骨

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目的　探讨人工髋关节置换术后Vancouver B1型股骨假体周围骨折的治疗方法。方法　2006年4月－2011年2月采用记忆合金抓握式接骨板固定结合自体髂骨植骨治疗6例Vancouver B1型股骨假体周围骨折。其中男2例，女4例；年龄55～78岁，平均68.5岁。6例均为初次行人工关节置换术后6个月～3年，平均18.4个月发生假体周围骨折；骨折至手术时间为3～6 d，平均4.2 d。结果　术后切口均Ⅰ期愈合，无深静脉血栓形成、肺部感染、肺栓塞等并发症发生。6例均获随访，随访时间13个月～4年，平均28.6个月。X线片示骨折全部愈合，愈合时间12～20周，平均14.8周。末次随访时Harris评分76～93分，平均83.6分；获优3例，良3例。无1例出现接骨板折断、松动，骨折再移位、骨不连、股骨假体松动等并发症。结论　记忆合金抓握式接骨板结合自体髂骨植骨治疗Vancouver B1型股骨假体周围骨折具有固定可靠、操作简便的特点，可获满意临床疗效。

Citation： LI Chengxu,FAN Hongwu,GAO Tianmin. Using Shape Memory Alloy Embracing Fixator and Self-ilium Grafting to Surgically Treat Vancouver Type-B1 Periprosthetic Femoral Fractures. West China Medical Journal, 2012, 27(12): 1849-1851. doi: Copy

1.	Lindahl H, Garellick G, Regnér H, et al.Three hundred and twenty-one periprosthetic femoral[J]. J Bone Joint Surg (Am), 2006, 88(6): 1215-1222.
2.	Duncan CP, Masri BA. Fractures of the femur after hip replacement[J] .Instr Course Lect, 1995, 44: 293-304.
3.	Steinberg ME, Garino JP.Revision total hip arthrop-lasty[M].Lippincott: Williams & Wilkins, 1999: 493-503.
4.	张向臣, 李春龙, 刘成文, 等.应用异体皮质骨板及钢缆治疗股骨假体周围骨折[J].中国骨质疏松杂志, 2010, 16(6): 442-443.
5.	Ahuja S, Chatterji S. The mennen femoral plate for fixation of periprosthetie femoral fractures following hip arthmplasty[J]. Injury, 2002, 33(1): 47-50．.
6.	Noorda RJ, Wuisman PI. Mennen plate fixation for the treatment of periprosthetic femoral fractures[J]. J Bone Joint Surg (Am), 2002, 84(2): 2211-2215.
7.	Haddad FS, MarstonRA, Muirhead-Allwood SK. The Dali-Miles cable and plate system for periprosthetic femoral fractures[J]．Injury, 1997, 28(7): 445-447.
8.	Shah N, McCabe J. Dall-Miles cable and plate system for periprosthetic femoral fracture[J]. Eur J Orthop Surg Traumatol, 2002, 12(3): 137 -139.
9.	Anakwe RE, Aitken SA, Khan LA.Osteoporotic periprosthetic fracture of the femur in elderly patients:outcome after fixation with the LISS plate[J]. Injury, 2008, 39(10): 1191-1197.
10.	Currall V, Thomason K, Eastaugh-Waring S, et al. The use of LISS femoral locking plates and cabling in the treatment of periprosthetic fractures around stable proximal femoral implants in elderly patients[J]. Hip Int, 2008, 18(3): 207-211.
11.	Kobbe P, Klemm R, Reilmann H, et al. Less invasive stabilisation system (LISS) for the treatment of periprosthetic femoral fractures: a 3-year follow-up[J]．Injury, 2008, 39(4): 472-479.
12.	Cebesoy O, Kose KC. Periprosthetic fractures of femur: LISS plate[J]. Arch Orthop Trauma Surg, 2006, 126(6): 427-428.

1. 　Lindahl H, Garellick G, Regnér H, et al.Three hundred and twenty-one periprosthetic femoral[J]. J Bone Joint Surg (Am), 2006, 88(6): 1215-1222.
2. 　Duncan CP, Masri BA. Fractures of the femur after hip replacement[J] .Instr Course Lect, 1995, 44: 293-304.
3. 　Steinberg ME, Garino JP.Revision total hip arthrop-lasty[M].Lippincott: Williams & Wilkins, 1999: 493-503.
4. 　张向臣, 李春龙, 刘成文, 等.应用异体皮质骨板及钢缆治疗股骨假体周围骨折[J].中国骨质疏松杂志, 2010, 16(6): 442-443.
5. 　Ahuja S, Chatterji S. The mennen femoral plate for fixation of periprosthetie femoral fractures following hip arthmplasty[J]. Injury, 2002, 33(1): 47-50．.
6. 　Noorda RJ, Wuisman PI. Mennen plate fixation for the treatment of periprosthetic femoral fractures[J]. J Bone Joint Surg (Am), 2002, 84(2): 2211-2215.
7. 　Haddad FS, MarstonRA, Muirhead-Allwood SK. The Dali-Miles cable and plate system for periprosthetic femoral fractures[J]．Injury, 1997, 28(7): 445-447.
8. 　Shah N, McCabe J. Dall-Miles cable and plate system for periprosthetic femoral fracture[J]. Eur J Orthop Surg Traumatol, 2002, 12(3): 137 -139.
9. 　Anakwe RE, Aitken SA, Khan LA.Osteoporotic periprosthetic fracture of the femur in elderly patients:outcome after fixation with the LISS plate[J]. Injury, 2008, 39(10): 1191-1197.
10. 　Currall V, Thomason K, Eastaugh-Waring S, et al. The use of LISS femoral locking plates and cabling in the treatment of periprosthetic fractures around stable proximal femoral implants in elderly patients[J]. Hip Int, 2008, 18(3): 207-211.
11. 　Kobbe P, Klemm R, Reilmann H, et al. Less invasive stabilisation system (LISS) for the treatment of periprosthetic femoral fractures: a 3-year follow-up[J]．Injury, 2008, 39(4): 472-479.
12. 　Cebesoy O, Kose KC. Periprosthetic fractures of femur: LISS plate[J]. Arch Orthop Trauma Surg, 2006, 126(6): 427-428.

West China Medical Journal

Using Shape Memory Alloy Embracing Fixator and Self-ilium Grafting to Surgically Treat Vancouver Type-B1 Periprosthetic Femoral Fractures

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