应用人工全髋关节置换术重建骨性融合的髋关节功能Reconstruction of bony fused hip with total hip arthroplasty
富勇;赵承斌;
摘要(Abstract):
[目的]评价人工全髋关节置换术重建骨性融合的髋关节的临床和影像学结果。[方法]本组32例(36髋)髋关节骨性融合的患者行人工全髋关节置换术。其中男性18例,女性14例,手术时平均年龄36.5岁。自发性骨性融合20髋,手术融合16髋。平均融合时间为18年7个月;术前16例主诉周围关节疼痛;27例严重跛行和畸形。随访时间平均6年11个月(4~10年);对其临床及放射线影像学结果进行分析。[结果]手术切口均一期愈合,无切口感染,髋关节Harris评分由术前的(52.7±9.2)分提高到术后的(85.1±8.1)分;平均髋关节活动范围:伸直0°位、屈曲86°±10.1°、外旋25°±6.2°、内旋20.1°±5.3°、外展29.7°±6.3°和内收21.3°±5.1°。X线影像学表现:髋臼侧骨溶解5例,髋臼假体松动1例,股骨柄松动1例,异位骨化形成10例。[结论]人工全髋关节置换术重建骨性融合的髋关节,可以缓解周围关节疼痛、增加髋关节的活动度、改善平衡下肢长度和矫正髋关节畸形,从而提高患者生活质量。
关键词(KeyWords): 髋关节;融合;髋关节成形
基金项目(Foundation):
作者(Author): 富勇;赵承斌;
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参考文献(References):
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