大粗隆延长截骨在髋关节翻修手术中的运用Application of extended trochanteric osteotomy in hip joint revision
邵宏翊;刘忠军;周一新;柳剑;
摘要(Abstract):
[目的]探讨大粗隆延长截骨在髋关节翻修手术中的实际应用及疗效。[方法]对2003~2008年13例接受髋关节翻修手术中进行大粗隆延长截骨的患者进行随访,共13髋,平均随访32.3个月。对患者翻修原因、术前术后Harris评分、截骨长度、截骨愈合时间等进行分析。[结果]13例患者中术前Harris评分平均38分(24~68分),术后Harris评分为77分(57~100分),平均提高39分。平均截骨长度从大粗隆顶点至截骨远端为12.4cm(9~15.1cm)。11例患者在术后3个月时截骨端愈合,2例患者在6个月随访时截骨端愈合。[结论]大粗隆延长截骨在髋翻修手术中可以帮助充分暴露术野,取出固定良好的骨水泥和非骨水泥股骨柄,同时截骨愈合良好。
关键词(KeyWords): 髋;置换;关节成形术;翻修术;截骨
基金项目(Foundation):
作者(Author): 邵宏翊;刘忠军;周一新;柳剑;
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参考文献(References):
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