朱晨;程涛;张先龙;孔荣;方诗元;马锐祥;

• 1:上海交通大学附属第六人民医院骨科
• 2:安徽医科大学附属省立医院骨科

摘要(Abstract)：

[目的]探讨成人髋关节发育不良的CT分型,以指导人工全髋关节置换的手术操作。[方法]收治髋臼发育不良伴严重骨性关节炎或股骨颈骨折的Crowe I型患者63例,行双髋置换10例,术前常规行X线和三维CT明确诊断及髋臼侧和股骨侧有无畸形及程度并进行分型,根据新的分型合理设计手术方案。术后及随访X线片评价假体位置、有无移位、松动、假体周围骨折及肢体长短。[结果]平均随访3.3年,术后无切口或深部感染,无假体周围骨折及神经损伤,所有患者Harris评分由置换前的(37.9±6.9)分提高到术后近期的(91.2±2.8)分。除早期2例(占总数占2.7%)因术后脱位行二期翻修外;余71例(97.3%)经长期随访,X线示股骨柄和髋臼杯的位置以及与周围的骨质匹配整合良好。63例患者中,术前37例肢体不等长,术后34例等长,短缩<1cm 3例。[结论]对于髋臼发育不良的患者,新的CT分型,能更好的处理髋臼及股骨近端的畸形,指导选择合适的假体,获得理想的术后功能。

关键词(KeyWords)： 成人;髋臼发育不良;全髋关节置换;Harris评分

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 朱晨;程涛;张先龙;孔荣;方诗元;马锐祥;

Email:

DOI:

参考文献(References)：

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