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;
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DOI:
参考文献(References):
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