姚小涛;陈志达;蒋元杰;周亮;黄锡明;翟文亮;

• 1:联勤保障部队第909医院全军骨科中心

摘要(Abstract)：

[目的]评价Corail翻修柄在中青年患者髋关节翻修术中应用的临床疗效。[方法] 2015年10月～2017年10月,41例患者(41髋)采用Corail翻修柄对股骨侧翻修。股骨侧翻修原因:无菌性松动23例,假体周围感染术后二期翻修11例,假体周围骨折7例。总结患者围手术期、随访与影像资料。[结果] 41例患者手术顺利,术中无血管、神经损伤等严重并发症,术中无再骨折。随术后时间推移,患者疼痛逐渐减轻,功能逐渐改善。随访过程中,未发生外伤、脱位、感染等不良事件,无再次翻修者。末次随访,Harris髋关节评分、髋关节伸-屈ROM和双下肢长度差值均较翻修术前显著改善(P<0.05)。影像方面,翻修术后41例患者假体位置良好。末次随访X线片显示骨长入固定37例,稳定的纤维固定4例,无1例出现假体不稳定,翻修股骨柄均无明显松动或下沉。所有患者均未发现骨溶解及应力遮挡。[结论]中青年患者采用Corail翻修柄行髋关节翻修术近期疗效满意,具有操作简单、假体稳定性好、骨量保留良好的优点。

关键词(KeyWords)： 髋关节翻修;中青年人;Corail翻修柄;疗效

Abstract:

Keywords:

基金项目(Foundation): 漳州市自然科学基金项目（编号：ZZ2018J10）

作者(Author): 姚小涛;陈志达;蒋元杰;周亮;黄锡明;翟文亮;

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