人工关节置换治疗老年股骨转子间骨折的优势与不足
|
摘要
背景:由于社会步入老龄化,老年股骨转子间骨折发病率亦呈现上升趋势,其治疗方法也多种多样。积极手术治疗、早期下地活动、减少术后并发症是目前基本的治疗原则,手术方法包括内固定和人工关节置换两大类,人工关节置换目前仅用于严重粉碎性骨折伴严重骨质疏松的患者。近年来国内外开始尝试人工关节置换治疗老年股骨转子间骨折,但疗效与安全性仍存在诸多争议。人工关节置换作为其中的一种治疗方法,随着它的优势越来越明显,逐渐受到临床骨科医师的关注。目的:通过对国内外人工关节置换治疗老年股骨转子间骨折的体会进行综述,为骨科医师在临床治疗老年股骨转子间骨折提供选择。方法:第一作者应用计算机检索2000年1月至2018年10月PubMed数据库、Webofscience数据库、万方数据库、中国期刊全文数据库的相关文章,英文检索词"intertrochanteric fractures of the femur,the elderly,artificial joint replacement,fracture treatment";中文检索词"股骨转子间骨折,老年人,人工关节置换,骨折治疗"。结果与结论:①共检索到75篇相关文献,60篇文献符合纳入标准;②人工髋关节置换治疗老年股骨转子间骨折短期疗效令人满意,但是术前必须明确人工置换的适应证及禁忌证;③国内外文献在老年股骨转子间骨折治疗手段上并未达成一致,目前开展的临床治疗较少,缺少多中心大样本量的临床试验,这些都需要进一步研究探索。
BACKGROUND: Due to the aging of society, the incidence of intertrochanteric fractures in the elderly has increased, and its treatment methods are diverse. Active surgical treatment, early-term ground movements,and reduction of postoperative complications are the basic principles of the treatment. The surgical methods include internal fixation and arthroplasty. Arthroplasty is only used in severe comminuted fracture with severe osteoporosis. In recent years, arthroplasty has been applied for treating intertrochanteric femur fractures in the elderly at abroad and home, but there are still controversies about the efficacy and safety. As one of the treatment methods, arthroplasty has gradually attracted the attention of clinical orthopedic surgeons as its prominent advantages.OBJECTIVE: To review the experience of arthroplasty at home and abroad in the surgical treatment of intertrochanteric femur fractures in the elderly, so as to provide an option for orthopedic surgeons in the treatment of intertrochanteric fractures in the elderly.METHODS: A computer-based retrieval of PubMed, Web of science, WanFang, and CNKI databases for the articles published from January2000 to October 2018. The keywords were "intertrochanteric fractures of the femur, the elderly, artificial joint replacement, fracture treatment"in English and Chinese, respectively.RESULTS AND CONCLUSION:(1) Seventy-five articles were retrieved, and 60 eligible articles were included.(2) Hip arthroplasty exhibits a satisfactory short-term efficacy in the treatment of intertrochanteric femur fractures in the elderly. However, indications and contraindications for arthroplasty must be clarified before surgery.(3) Domestic and foreign literatures have not reached agreement on the treatment of intertrochanteric femur fractures in the elderly. The related clinical trials are few and there is a lack of multi-center large-sample clinical trials,which require to be investigated in depth.
BACKGROUND: Due to the aging of society, the incidence of intertrochanteric fractures in the elderly has increased, and its treatment methods are diverse. Active surgical treatment, early-term ground movements,and reduction of postoperative complications are the basic principles of the treatment. The surgical methods include internal fixation and arthroplasty. Arthroplasty is only used in severe comminuted fracture with severe osteoporosis. In recent years, arthroplasty has been applied for treating intertrochanteric femur fractures in the elderly at abroad and home, but there are still controversies about the efficacy and safety. As one of the treatment methods, arthroplasty has gradually attracted the attention of clinical orthopedic surgeons as its prominent advantages.OBJECTIVE: To review the experience of arthroplasty at home and abroad in the surgical treatment of intertrochanteric femur fractures in the elderly, so as to provide an option for orthopedic surgeons in the treatment of intertrochanteric fractures in the elderly.METHODS: A computer-based retrieval of PubMed, Web of science, WanFang, and CNKI databases for the articles published from January2000 to October 2018. The keywords were "intertrochanteric fractures of the femur, the elderly, artificial joint replacement, fracture treatment"in English and Chinese, respectively.RESULTS AND CONCLUSION:(1) Seventy-five articles were retrieved, and 60 eligible articles were included.(2) Hip arthroplasty exhibits a satisfactory short-term efficacy in the treatment of intertrochanteric femur fractures in the elderly. However, indications and contraindications for arthroplasty must be clarified before surgery.(3) Domestic and foreign literatures have not reached agreement on the treatment of intertrochanteric femur fractures in the elderly. The related clinical trials are few and there is a lack of multi-center large-sample clinical trials,which require to be investigated in depth.
引文
[1]Kanis JA,Oden A,Johnell O,et al.The components of excess mortality after hip fracture.Bone.2003;32(5):468-473.
[2]Chu X,Liu F,Huang J,et al.Good short-term outcome of arthroplasty with wagner slimplants for unstable intertrochanteric osteoporoticfractures.J Arthroplasty.2014;29(3):605-608.
[3]张辉良,梁俊生,张洪斌.股骨近端锁定板有限切开内固定治疗老年股骨转子间骨折疗效观察[J].中华实用诊断与治疗杂志,2012,32(7):611-613.
[4]张长青.关于老年股骨转子间骨折的当代观点[J].中华骨科杂志,2012,32(7):611-613.
[5]彭涛,寿康全,付纳新,等.3种方法治疗老年不稳定性股骨转子间骨折的疗效比较[J].临床骨科杂志,2015,18(2):187-190.
[6]张保中,邱贵兴.高龄股骨转子间骨折的手术治疗[J].中华创伤杂志,2005,21(8):582-584.
[7]Kanis JA,Johneu O,Oden A,et al.Ten year probabilities of osteopoarotic fractures according to BMD and diagnostic threaholds.Osteoporos Int.2001;12(2):989-995.
[8]沈宇辉,袁高翔,郁健.骨质疏松性股骨粗隆间骨折与骨密度关系及临床意义[J].国际骨科学杂志,2011,32(6):389-391.
[9]俞银贤,吴晓明.小转子未累及的不稳定股骨转子间骨折的手术复位技巧[J].中华骨科杂志,2012,32(7):621-625.
[10]高雁卿,左立新,王晓琼,等.老年转子间骨折外科治疗方法选择[J].中华医学杂志,2012,92(29):2038-2041.
[11]许杰,马若凡,彭焰,等.股骨转子间骨折术后并发症的原因分析及处理[J].中华创伤骨科杂志,2006,8(7):630-633.
[12]Shen L,Zhang Y,Shen Y,et al.Antirotation proximal femoral nail versus dynamic hip screw for intertrochanteric fractures:a meta-analysis of randomized controlled studies.Orthop Traumatol Surg Res.2013;99(3):377-383.
[13]Rubio-Avila J,Madden K,Simunovic N,et al.Tip to apex distance in femoral intertrochanteric fractures:a systematic review.JOrthop Sci.2013;18(4):592-598.
[14]Chen CM,Chiu FY,Lo WH.Avascular necrosis of femoral head after gamma-nailing for unstable intertrochanteric fractures.Arch Orthop Trauma Surg.2001;121(9):505-507.
[15]难治性骨折的治疗研究课题组.股骨转子间骨折的治疗建议[J].中华创伤骨科杂志,2011,13(2):148-151.
[16]陈述伟,杨述华,杨超,等.老年人股骨转子周围骨折的特点及手术方法的选择[J].中国骨与关节损伤杂志,2007,22(4):289-291.
[17]王春生,张永涛,杨佩,等.关节置换与内固定治疗转子间骨折并发症的对比研究[J].中华关节外科杂志,2012,6(4):496-501.
[18]关群,熊小江,唐进.人工关节置换治疗老年股骨转子间不稳定骨折[J].中华创伤杂志,2014,30(3):211-216.
[19]马量,林铎,胡英彦,等.探讨人工关节置换治疗老年股骨转子间不稳定骨折的临床疗效[J].中国实用医药,2015,10(9):62-63.
[20]向川,郝耀,杨宇君,等.人工髋关节置换术与内固定术治疗老年股骨粗隆间骨折的META分析[J].中国矫形外科杂志,2013,21(14):1384-1391.
[21]Rodop O,Kiral A,Kaplan H,et al.Primary bipolar hemiprosthesis for unstable intertrochanteric fracture.Int Orthop.2002;26(4):233-237.
[22]张大鹏,候明明,张圣洁.老年股骨转子间骨折行股骨近端髓内钉内固定术与人工髋关节置换术的疗效对比[J].山西医科大学学报,2014,45(11):1100-1101.
[23]张世泽,谭德猛,肖胜桂,等.髋关节置换术治疗老年股骨转子间骨折内固定失败的分析[J].中华全科医学,2013,11(5):744-745.
[24]张光耀,王少雄,杨庭发.人工股骨头置换治疗高龄股骨粗隆间骨折[J].河南外科学杂志,2012,18(1):56-58.
[25]李忠,张堃,同志超.半髋关节置换术治疗高龄股骨转子间不稳定性骨折[J].中华创伤骨科杂志,2006,8(1):85-86.
[26]Liu XZ,Yang W,Yang SH,et al.Total hip arthroplasty for treatment of elderly patients with comminuted intertrochanteric fracture accompanied by femoral head necrosis.Chin J Traumatol.2008;11(6):359-363.
[27]Sidhu AS,Singh AP,Singh AP,et al.Total hip replacement as primary treatment of unstable intertrochanteric fractures in elderly patients.Int Orthop.2010;34:789-792.
[28]Waddell JP,Morton J,Schemitsch EH.The role of total hip replacement in intertrochanteric fractures of the femur.Clin Orthop Relat Res.2004;12(429):49-53.
[29]Rodop O,Kiral A,Kaplan H,et al.Primary bipolar hemiprosthesis for unstable intertrochanteric fractures.Int Orthop.2002;26(4):233-237.
[30]刘晓东,尚希福,陈贝.人工关节置换和PFNA治疗老年股骨转子间不稳定骨折的临床疗效对比[J].实用医学杂志,2016,32(15):2529-2531.
[31]王业杨,王明森,李贵涛,等.不稳定型老年股骨转子间骨折行PFNA与THA治疗的对比研究[J].实用医学杂志,2015,31(8):1254-1255.
[32]蒋德春.人工关节置换与内固定治疗老年股骨转子间骨折的疗效分析与探讨[D].重庆:重庆医科大学,2013.
[33]Tyagi V,Akinbo O.Conversion total hip arthroplasty after failed basicervical hip fracture fixation:a case report and review of literature.Iowa Orthop J.2017;37:29-34.
[34]甄平,李旭升,田琦,等.股骨大粗隆重建的人工关节置换治疗高龄不稳定型粗隆间骨折[J].中国骨与关节杂志,2013,2(1):25-27.
[35]苏风霞.股骨头置换、骨水泥固定治疗粗隆间骨折83例术后功能锻炼[J].齐鲁护理杂志,2007,13(8):75-76.
[36]肖勇,谢扬.手术治疗高龄不稳定性股骨转子间骨折[J].临床骨科杂志,2012,15(1):115.
[37]郑哲.人工关节置换和防旋股骨近端髓内钉内固定治疗老年人股骨转子间骨折的临床疗效对比[J].中国实用医刊,2016,43(14):105-106.
[38]梁永宁,李坤.髋关节置换治疗复杂性老年粗隆间骨折疗效观察[J].中外健康文摘,2011,8(17):65-66.
[39]黄长智,杨效宁,刘大诚,等.全髋关节置换术治疗股骨粗隆间骨折伴股骨头坏死的疗效观察[J].中国骨与关节损伤杂志,2013,28(8):756-757.
[40]吕波,王跃,朱建辛,等.人工关节置换治疗高龄重度骨质疏松性股骨粗隆间骨折的中期疗效随访[J].中华关节外科杂志,2014,8(3):286-289.
[41]陈宇翔,唐佩福.股骨粗隆间骨折内固定手术治疗的研究进展[J].解放军医学院学报,2017,38(2):171-174.
[42]Broderick JM,Bruce-Brand R,Stanley E.Osteoporotic hip fractures:the burden of fixation failure.Sci World J.2013;2013:515197.
[43]雷飞跃,张雪平.内固定术与人工髋关节置换术治疗老年股骨粗隆间骨折的疗效对比[J].中国骨与关节损伤杂志,2016,31(4):405-406.
[44]曹成福,刘明轩,周军杰.人工股骨头置换治疗老年粉碎性股骨粗隆间骨折的临床评价[J].上海医学,2004,27(5):324-325.
[45]Chu X,Liu F,Huang J,et al.Good short-term outcome of arthroplasty with wagner sl implants for unstable intertrochanteric osteoporotic fractures.J Arthroplasty.2014;29(3):605-608.
[46]张晓岗,阿斯哈尔江·买买提依明,曹力,等.非骨水泥型人工关节置换治疗老年不稳定股骨转子间骨折[J].中华骨科杂志,2012,32(7):631-636.
[47]舒建国,钱建敏.人工股骨头置换治疗老年骨折疏松粗隆间骨折[J].浙江中医药大学学报,2009,33(6):842-843.
[48]李博,田晓滨,孙立,等.骨水泥型与生物型加长柄人工髋关节置换术治疗高龄不稳定股骨转子间骨折的疗效比较[J].中华创伤杂志,2016,32(6):527-532.
[49]Olsen F,Kotyra M,Houltz E,et al.Bone cement implantation syndrome in cemented hemiarthroplasty for femoral neck fracture:Incidence,risk factors,and effect on outcome.Br J Anaesth.2014;113(5):800-806.
[50]张超凡,张文明,黄子达,等.人工髋关节置换术与内固定术治疗老年不稳定股骨粗隆间骨折的Meta分析[J].中国骨与关节损伤杂志,2015,30(10):1035-1039.
[51]赵刚,任伟民,高平,等.人工关节置换术治疗老年粗隆间不稳定型骨折患者48例的效果评价[J].中国老年学杂志,2007,27(24):2439-2440.
[52]罗剑,郭珊成,黄志勇,等.骨水泥型长柄人工股骨头置换治疗老年股骨转子间型骨折23例临床分析[J].南方医科大学学报,2010,30(7):1685-1687.
[53]王本杰,赵德伟,谢辉,等.骨水泥型和生物型股骨假体半髋置换修复高龄股骨颈骨折[J].中国组织工程研究,2015,19(9):1345-1351.
[54]李子恢,吴兵,王春辉,等.加长柄双极股骨头置换治疗高龄患者不稳定粗隆间骨折的临床研究[J].新疆医科大学学报,2008,31(12):1706-1708.
[55]Lou XF,Li YH,Lin XJ.Effect of proximal femoral osteoporosis on cementless hip arthmplasty:a short-term clinical analysis.JZhejiang Univ Sci B.2007;8(1):76-80.
[56]Rasquinha VJ,Ranawant CS.Duarbility of the cemented femoral stem in patients 60 to 80 years old.Clin Orthop Relat Res.2004;340(419):115-123.
[57]Dean BJ,Matthews JJ,Price A,et al.Modular endoprosthetic replacement for failed internal fixation of the proximal femur following trauma.Int Orthop.2012;36(4):731-734.
[58]Zarin JS,Zurakowski D,Burke DW.Claw plate fixation of the greater trochanter in revision total hip arthroplasty.J Arthroplasty.2009;24(2):272-280.
[59]李明辉,刘洋.股骨粗隆间骨折治疗及其生物力学特征研究进展[J].国际骨科学杂志,2010,31(1):8-11.
[60]Chen DW,Lin CL,Hu CC,et al.Biomechanical consideration of total hip arthroplasty following failed fixation of femoral intertrochanteric fractures-A finte element analysis.Med Eng Phys.2013;35(5):569-575.
[2]Chu X,Liu F,Huang J,et al.Good short-term outcome of arthroplasty with wagner slimplants for unstable intertrochanteric osteoporoticfractures.J Arthroplasty.2014;29(3):605-608.
[3]张辉良,梁俊生,张洪斌.股骨近端锁定板有限切开内固定治疗老年股骨转子间骨折疗效观察[J].中华实用诊断与治疗杂志,2012,32(7):611-613.
[4]张长青.关于老年股骨转子间骨折的当代观点[J].中华骨科杂志,2012,32(7):611-613.
[5]彭涛,寿康全,付纳新,等.3种方法治疗老年不稳定性股骨转子间骨折的疗效比较[J].临床骨科杂志,2015,18(2):187-190.
[6]张保中,邱贵兴.高龄股骨转子间骨折的手术治疗[J].中华创伤杂志,2005,21(8):582-584.
[7]Kanis JA,Johneu O,Oden A,et al.Ten year probabilities of osteopoarotic fractures according to BMD and diagnostic threaholds.Osteoporos Int.2001;12(2):989-995.
[8]沈宇辉,袁高翔,郁健.骨质疏松性股骨粗隆间骨折与骨密度关系及临床意义[J].国际骨科学杂志,2011,32(6):389-391.
[9]俞银贤,吴晓明.小转子未累及的不稳定股骨转子间骨折的手术复位技巧[J].中华骨科杂志,2012,32(7):621-625.
[10]高雁卿,左立新,王晓琼,等.老年转子间骨折外科治疗方法选择[J].中华医学杂志,2012,92(29):2038-2041.
[11]许杰,马若凡,彭焰,等.股骨转子间骨折术后并发症的原因分析及处理[J].中华创伤骨科杂志,2006,8(7):630-633.
[12]Shen L,Zhang Y,Shen Y,et al.Antirotation proximal femoral nail versus dynamic hip screw for intertrochanteric fractures:a meta-analysis of randomized controlled studies.Orthop Traumatol Surg Res.2013;99(3):377-383.
[13]Rubio-Avila J,Madden K,Simunovic N,et al.Tip to apex distance in femoral intertrochanteric fractures:a systematic review.JOrthop Sci.2013;18(4):592-598.
[14]Chen CM,Chiu FY,Lo WH.Avascular necrosis of femoral head after gamma-nailing for unstable intertrochanteric fractures.Arch Orthop Trauma Surg.2001;121(9):505-507.
[15]难治性骨折的治疗研究课题组.股骨转子间骨折的治疗建议[J].中华创伤骨科杂志,2011,13(2):148-151.
[16]陈述伟,杨述华,杨超,等.老年人股骨转子周围骨折的特点及手术方法的选择[J].中国骨与关节损伤杂志,2007,22(4):289-291.
[17]王春生,张永涛,杨佩,等.关节置换与内固定治疗转子间骨折并发症的对比研究[J].中华关节外科杂志,2012,6(4):496-501.
[18]关群,熊小江,唐进.人工关节置换治疗老年股骨转子间不稳定骨折[J].中华创伤杂志,2014,30(3):211-216.
[19]马量,林铎,胡英彦,等.探讨人工关节置换治疗老年股骨转子间不稳定骨折的临床疗效[J].中国实用医药,2015,10(9):62-63.
[20]向川,郝耀,杨宇君,等.人工髋关节置换术与内固定术治疗老年股骨粗隆间骨折的META分析[J].中国矫形外科杂志,2013,21(14):1384-1391.
[21]Rodop O,Kiral A,Kaplan H,et al.Primary bipolar hemiprosthesis for unstable intertrochanteric fracture.Int Orthop.2002;26(4):233-237.
[22]张大鹏,候明明,张圣洁.老年股骨转子间骨折行股骨近端髓内钉内固定术与人工髋关节置换术的疗效对比[J].山西医科大学学报,2014,45(11):1100-1101.
[23]张世泽,谭德猛,肖胜桂,等.髋关节置换术治疗老年股骨转子间骨折内固定失败的分析[J].中华全科医学,2013,11(5):744-745.
[24]张光耀,王少雄,杨庭发.人工股骨头置换治疗高龄股骨粗隆间骨折[J].河南外科学杂志,2012,18(1):56-58.
[25]李忠,张堃,同志超.半髋关节置换术治疗高龄股骨转子间不稳定性骨折[J].中华创伤骨科杂志,2006,8(1):85-86.
[26]Liu XZ,Yang W,Yang SH,et al.Total hip arthroplasty for treatment of elderly patients with comminuted intertrochanteric fracture accompanied by femoral head necrosis.Chin J Traumatol.2008;11(6):359-363.
[27]Sidhu AS,Singh AP,Singh AP,et al.Total hip replacement as primary treatment of unstable intertrochanteric fractures in elderly patients.Int Orthop.2010;34:789-792.
[28]Waddell JP,Morton J,Schemitsch EH.The role of total hip replacement in intertrochanteric fractures of the femur.Clin Orthop Relat Res.2004;12(429):49-53.
[29]Rodop O,Kiral A,Kaplan H,et al.Primary bipolar hemiprosthesis for unstable intertrochanteric fractures.Int Orthop.2002;26(4):233-237.
[30]刘晓东,尚希福,陈贝.人工关节置换和PFNA治疗老年股骨转子间不稳定骨折的临床疗效对比[J].实用医学杂志,2016,32(15):2529-2531.
[31]王业杨,王明森,李贵涛,等.不稳定型老年股骨转子间骨折行PFNA与THA治疗的对比研究[J].实用医学杂志,2015,31(8):1254-1255.
[32]蒋德春.人工关节置换与内固定治疗老年股骨转子间骨折的疗效分析与探讨[D].重庆:重庆医科大学,2013.
[33]Tyagi V,Akinbo O.Conversion total hip arthroplasty after failed basicervical hip fracture fixation:a case report and review of literature.Iowa Orthop J.2017;37:29-34.
[34]甄平,李旭升,田琦,等.股骨大粗隆重建的人工关节置换治疗高龄不稳定型粗隆间骨折[J].中国骨与关节杂志,2013,2(1):25-27.
[35]苏风霞.股骨头置换、骨水泥固定治疗粗隆间骨折83例术后功能锻炼[J].齐鲁护理杂志,2007,13(8):75-76.
[36]肖勇,谢扬.手术治疗高龄不稳定性股骨转子间骨折[J].临床骨科杂志,2012,15(1):115.
[37]郑哲.人工关节置换和防旋股骨近端髓内钉内固定治疗老年人股骨转子间骨折的临床疗效对比[J].中国实用医刊,2016,43(14):105-106.
[38]梁永宁,李坤.髋关节置换治疗复杂性老年粗隆间骨折疗效观察[J].中外健康文摘,2011,8(17):65-66.
[39]黄长智,杨效宁,刘大诚,等.全髋关节置换术治疗股骨粗隆间骨折伴股骨头坏死的疗效观察[J].中国骨与关节损伤杂志,2013,28(8):756-757.
[40]吕波,王跃,朱建辛,等.人工关节置换治疗高龄重度骨质疏松性股骨粗隆间骨折的中期疗效随访[J].中华关节外科杂志,2014,8(3):286-289.
[41]陈宇翔,唐佩福.股骨粗隆间骨折内固定手术治疗的研究进展[J].解放军医学院学报,2017,38(2):171-174.
[42]Broderick JM,Bruce-Brand R,Stanley E.Osteoporotic hip fractures:the burden of fixation failure.Sci World J.2013;2013:515197.
[43]雷飞跃,张雪平.内固定术与人工髋关节置换术治疗老年股骨粗隆间骨折的疗效对比[J].中国骨与关节损伤杂志,2016,31(4):405-406.
[44]曹成福,刘明轩,周军杰.人工股骨头置换治疗老年粉碎性股骨粗隆间骨折的临床评价[J].上海医学,2004,27(5):324-325.
[45]Chu X,Liu F,Huang J,et al.Good short-term outcome of arthroplasty with wagner sl implants for unstable intertrochanteric osteoporotic fractures.J Arthroplasty.2014;29(3):605-608.
[46]张晓岗,阿斯哈尔江·买买提依明,曹力,等.非骨水泥型人工关节置换治疗老年不稳定股骨转子间骨折[J].中华骨科杂志,2012,32(7):631-636.
[47]舒建国,钱建敏.人工股骨头置换治疗老年骨折疏松粗隆间骨折[J].浙江中医药大学学报,2009,33(6):842-843.
[48]李博,田晓滨,孙立,等.骨水泥型与生物型加长柄人工髋关节置换术治疗高龄不稳定股骨转子间骨折的疗效比较[J].中华创伤杂志,2016,32(6):527-532.
[49]Olsen F,Kotyra M,Houltz E,et al.Bone cement implantation syndrome in cemented hemiarthroplasty for femoral neck fracture:Incidence,risk factors,and effect on outcome.Br J Anaesth.2014;113(5):800-806.
[50]张超凡,张文明,黄子达,等.人工髋关节置换术与内固定术治疗老年不稳定股骨粗隆间骨折的Meta分析[J].中国骨与关节损伤杂志,2015,30(10):1035-1039.
[51]赵刚,任伟民,高平,等.人工关节置换术治疗老年粗隆间不稳定型骨折患者48例的效果评价[J].中国老年学杂志,2007,27(24):2439-2440.
[52]罗剑,郭珊成,黄志勇,等.骨水泥型长柄人工股骨头置换治疗老年股骨转子间型骨折23例临床分析[J].南方医科大学学报,2010,30(7):1685-1687.
[53]王本杰,赵德伟,谢辉,等.骨水泥型和生物型股骨假体半髋置换修复高龄股骨颈骨折[J].中国组织工程研究,2015,19(9):1345-1351.
[54]李子恢,吴兵,王春辉,等.加长柄双极股骨头置换治疗高龄患者不稳定粗隆间骨折的临床研究[J].新疆医科大学学报,2008,31(12):1706-1708.
[55]Lou XF,Li YH,Lin XJ.Effect of proximal femoral osteoporosis on cementless hip arthmplasty:a short-term clinical analysis.JZhejiang Univ Sci B.2007;8(1):76-80.
[56]Rasquinha VJ,Ranawant CS.Duarbility of the cemented femoral stem in patients 60 to 80 years old.Clin Orthop Relat Res.2004;340(419):115-123.
[57]Dean BJ,Matthews JJ,Price A,et al.Modular endoprosthetic replacement for failed internal fixation of the proximal femur following trauma.Int Orthop.2012;36(4):731-734.
[58]Zarin JS,Zurakowski D,Burke DW.Claw plate fixation of the greater trochanter in revision total hip arthroplasty.J Arthroplasty.2009;24(2):272-280.
[59]李明辉,刘洋.股骨粗隆间骨折治疗及其生物力学特征研究进展[J].国际骨科学杂志,2010,31(1):8-11.
[60]Chen DW,Lin CL,Hu CC,et al.Biomechanical consideration of total hip arthroplasty following failed fixation of femoral intertrochanteric fractures-A finte element analysis.Med Eng Phys.2013;35(5):569-575.