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靠近的股骨置换与锁定板用于大规模的骨损失:一个案例报告

Hironori Ochi¹, Tomonori Baba², Masahiko Nozawa¹

¹Department of Orthopaedic Surgery, Juntendo University Nerima Hospital, 3-1-10, Takanodai, Nerima-ku, Tokyo 177-8521, Japan.

|May 12, 2025

概括

靠近大腿骨置换 (PFR) 使用锁定板有效地重建老年患者大规模的大腿骨损失,防止松和骨折等并发症. 这种技术确保了坚固的固定,并允许早期承重,从而产生出色的长期结果.

科学领域:

整形外科手术整形外科手术
生物医学工程生物医学工程

背景情况:

靠近大腿骨置换 (PFR) 后的并发症,包括茎松动和周围假肢骨折,是修复手术的主要驱动因素.
大规模的近端大腿骨损失,通常被归类为帕普洛斯基型IV,在修复关节塑形术中提出了重大挑战.

研究的目的:

为了评估靠近大腿骨置换 (PFR) 结合锁定板来重建巨大的靠近大腿骨损失的疗效.
评估这种联合手术技术在老年患者群体中的长期结果和并发症率.

主要方法:

一个案例研究详细介绍了一位85岁的女性患者的外科重建,该患者患有帕普洛斯基类型IV近腰骨损失,使用PFR和桥梁锁定板.
术后管理包括立即全面重量承载康复.
随访5年后的放射性评估评估了植入物松动,骨折或骨再吸收的迹象.

主要成果:

在5年的随访中,患者在没有并发症的情况下实现了稳定的行走.
手术后的X射线图显示没有放射性线条,植入物失败或骨再吸收的证据.
重建技术成功地解决了巨大的近端大腿骨损失,并提供了强大的固定.

结论:

靠近股骨置换 (PFR) 使用锁定板为复杂的股骨重建提供了可行的解决方案,特别是在广泛的骨损失的情况下.
这种技术可以减轻水泥骨接口上的扭曲和压缩应力,可能减少股骨并发症的发生率.
这种方法对骨质不佳的老年患者尤为有益,能够进行持久的股骨重建和功能恢复.

关键词:

腿部骨架重建腿部骨架重建锁定板上的锁定板.大规模的近端大腿骨损失.靠近的股骨替代体干部松动松动的干部

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