采用特制假体分期治疗成人高位先天性髋关节脱位21例(26髋)随诊报告Total hip replacement with the specially designed prosthesis following femoral pre-traction for patients with high congenital hip dislocation in adult
刘明;李佩佳;罗永忠;赵汉平;史庆轩;
摘要(Abstract):
[目的]探讨THR治疗成人高位先天性髋关节脱位中的问题及治疗对策。[方法]采用牵引后行THR的分期手术方法共治疗21例26髋CroweⅣ型成人高位先天性髋关节脱位患者。[结果]随访7个月~6 a,平均42个月。术后2~6个月恢复正常步态,术后6个月的Harris评分由术前43.7%提高到90.1%。[结论]本方法避免了术中股骨截骨及可能的并发症,并保留了下肢长度。所用特制假体及配套器械是保证手术顺利完成、取得满意效果的一个重要因素。
关键词(KeyWords): 成人;髋关节置换术;牵引术;先天性髋脱位;治疗结果
基金项目(Foundation):
作者(Author): 刘明;李佩佳;罗永忠;赵汉平;史庆轩;
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参考文献(References):
- [1]韩铭,王式鲁,董建文,等.全髋关节置换术治疗先天性髋关节发育不良[J].中国矫形外科杂志,2005,2(13):193-194.
- [2]SenerN,Tozun IR,Asik M.Femoral shorten ing and cem entless arthro-plasty in h igh congen ital d islocation of the h ip[J].J Arthroplasty,2002,17:41-48.
- [3]Eskelinen A,Helen ius I,Rem es V,et al.Cem entless total h ip arthro-plasty in patients w ith h igh congen ital h ip d islocation[J].J Bone JointSurg Am,2006,88:80-91.
- [4]卢世璧,主译.坎贝尔骨科手术学[M].第9版,山东科技出版社,2001,2:377.
- [5]Spangehl M J,Berry D J,Trousdale RT,et al.Uncem ented acetabu larcomponents w ith bu lk femoral head autograft for acetabu lar reconstruc-tion in developm ental dysplasia of the h ip:resu lts at five to twelveyears[J].J Bone Joint Surg Am,2001,83:1484-1489.
- [6]Farrell CM,Berry D J,Cabanela ME.Autogenous femoral head bonegrafts for acetabu lar deficiency in total-h ip arthroplasty for develop-m ental dysplasia of the h ip:long-term effect on pelvic bone stock[J].J Arthroplasty,2005,20:698-702.