一期双侧Tri-lock柄THA治疗强直性脊柱炎髋关节强直
周胜虎;王欢;李旭升;刘军;张浩强;乔永杰;许瑞岭;甄平;张勇;
摘要(Abstract)：
[目的]探讨一期Tri-Lock骨保留型股骨柄假体全髋关节置换术(total hip arthroplasty, THA)治疗强直性脊柱炎(ankylosing spondylitis, AS)累及双侧髋关节骨性强直的临床疗效。[方法]本院关节外科于2010年12～2018年12月治疗一期采用Tri-lock柄行THA的12例(24髋)强直性脊柱炎累及双侧髋关节骨性强直患者,其中男9例,女3例;年龄19～37岁,平均(28.32±6.43)岁。病程6～21年,平均(12.30±3.50)年。术中股骨颈均采用二次截骨,术后骨盆正位及双侧髋关节侧位X线片,评价人工髋关节假体位置,Engh标准评价骨-假体界面稳定性,Harris评分标准评价髋关节功能。[结果]均获随访13个月～7年,平均(5.60±2.20)年。术后12例(24髋) Harris评分(91.50±3.10)分,与术前相比,差异有统计学意义(P<0.05)。术后1例发生坐骨神经麻痹,经屈髋屈膝位对症处理后治愈,其余患者均无骨折、血管神经损伤、髋关节脱位、感染、假体松动、深静脉血栓、肺部感染等并发症发生。[结论]一期Tri-Lock骨保留型股骨柄假体THA治疗强直性脊柱炎累及双侧髋关节强直,可有效改善双侧髋关节活动度,重建髋关节功能,提高患者生活质量。
关键词(KeyWords)： 强直性脊柱炎;髋关节骨性强直;Tri-lock柄;人工全髋关节置换术
基金项目(Foundation): 全军后勤科研计划面上项目(编号：CWH17J009);; 全军医学科技青年培育计划项目(编号：19QNP047);; 甘肃省自然科学基金项目(编号：18JR3RA409);; 甘肃省卫生行业科研计划项目(编号：GSWSKY2018-21);; 兰州市人才创新创业项目(编号：2019-RC-65)
作者(Author): 周胜虎;王欢;李旭升;刘军;张浩强;乔永杰;许瑞岭;甄平;张勇;
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