Crowe Ⅳ型高脱位成人髋关节发育不良的手术治疗策略（英文）The operation strategy for the high dislocation of developmental dysplasia of the hip in adults
秦宏敏;殷光义;邹拥军;邢学红;赵良虎;张帆;刘洪全;杨勇;Rainhard Windhager;
摘要(Abstract)：
[目的]评价CroweⅣ型成人髋关节发育不良(developmental dysplasia of the hip in adults,DDH)恢复患肢绝对长度的手术治疗策略和疗效。[方法]对2007年2月~2013年5月在本院采用全髋关节置换术(THA)治疗CroweⅣ型成人DDH患者16例(16髋)的病人进行术前术后肢体长度测量、Harris髋关节功能评分,以及术后随访,分析手术疗效。[结果]随访0.5~6.0年,平均26个月。术前双侧肢体长度差别为2.5~7.0 cm(平均3.5cm),术后双侧肢体长度差别为0.0~1.0 cm(平均0.35 cm)。术前Harris评分平均为39分(33~76分),术后Harris评分平均为90分(72~94分)。[结论]通过松解延长、采用合适的人工关节假体恢复患肢绝对长度治疗CroweⅣ型成人DDH患者的手术效果稳定,手术技术具有可重复性,能够获得满意的疗效。
关键词(KeyWords)： 成人髋关节发育不良;高脱位;全髋关节置换术;髋关节功能
基金项目(Foundation):
作者(Author): 秦宏敏;殷光义;邹拥军;邢学红;赵良虎;张帆;刘洪全;杨勇;Rainhard Windhager;
Email:
DOI:
参考文献(References)：
- [1]Crowe JF,Mani VJ,Ranawat CS.Total hip replacement in congenital dislocation and dysplasia of the hip[J].J Bone Joint Surg Am,1979,61:15-23.
- [2]Hartofilakidis G,Stamos K,Karachalios T.Treatment of high dislocation of the hip in adults with total hip arthroplasty.Operative technique and long-term clinical results[J].J Bone Joint Surg Am,1998,80:510-517.
- [3]Numair J,Joshi AB,Murphy JC,et al.Total hip arthroplasty for congenital dysplasia or dislocation of the hip.Survivorship analysis and long-term results[J].J Bone Joint Surg Am,1997,79:1352-1360.
- [4]Papachristou G,Hatzigrigoris P,Panousis K,et al.Total hip arthroplasty for developmental hip dysplasia[J].Int Orthop,2006,30:21-25.
- [5]Hartofilakidis G,Georgiades G,Babis GC,et al.Evaluation of two surgical techniques for acetabular reconstruction in total hip replacement for congenital hip disease:results after a minimum ten-year follow-up[J].J Bone Joint Surg Br,2008,90:724-730.
- [6]Hartofilakidis G,Karachalios T.Total hip arthroplasty for congenital hip disease[J].J Bone Joint Surg Am,2004,86:242-250.
- [7]Paavilainen T,Hoikka V,Solonen KA.Cementless total replacement for severely dysplastic or dislocated hips[J].J Bone Joint Surg Br,1990,72:205-211.
- [8]Lai KA,Shen WJ,Huang LW,et al.Cementless total hip arthroplasty and limb-length equalization in patients with unilateral Crowe type-IV hip dislocation[J].J Bone Joint Surg Am,2005,87:339-345.
- [9]Lai KA,Liu J,Liu TK.Use of iliofemoral distraction in reducing high congenital dislocation of the hip before total hip arthroplasty[J].Arthroplasty,1996,11:588-593.
- [10]Holinka J,Pfeiffer M,Jochen G,et al.Total hip replacement in congenital high hip dislocation following iliofemoral monotube distraction[J].Int Orthop,2011,35:639-645.
- [11]Sunderland S.Nerves and nerve injury[M].2nded.New York:Churchill Livingstone,1968:62-66.
- [12]Kosuge D,Yamada N,Azegami S,et al.Management of developmental dysplasia of the hip in young adults:current concepts[J].Bone Joint J,2013,6:732-737.
- [13]Bao N,Meng J,Zhou L,et al.Lesser trochanteric osteotomy in total hip arthroplasty for treating CROWE type IV developmental dysplasia of hip[J].Int Orthop,2013,3:385-390.
- [14]Wu X,Li SH,Lou LM,et al.The techniques of soft tissue release and true socket reconstruction in total hip arthroplasty for patients with severe developmental dysplasia of the hip[J].Int Orthop,2012,9:1795-1801.
- [15]Liu R,Wen X,Tong Z,et al.Changes of gluteus medius muscle in the adult patients with unilateral developmental dysplasia of the hip[J].BMC Musculoskelet Disord,2012,13:101-105.
- [16]Schiffern AN,Stevenson DA,Carroll KL,et al.Total hip arthroplasty,hip osteoarthritis,total knee arthroplasty,and knee osteoarthritis in patients with developmental dysplasia of the hip and their family members:a kinship analysis report[J].J Pediatr Orthop,2012,6:609-612.