杨序程;周一新;唐杞衡;邵宏翊;

• 1:北京积水潭医院矫形骨科

摘要(Abstract)：

[目的]探讨全髋关节置换术(THA)中使用非水泥髋臼假体处理髋臼内陷的适应证、手术技术以及术后疗效。[方法]从1998～2009年,共38人(46髋)伴有髋臼内陷的患者接受非骨水泥臼杯的全髋关节置换术,男34髋,女12髋,平均年龄45岁。其中14髋术中行自体骨移植,术后随访1～8年(平均3年)。回顾分析手术技术,使用Harris、Charnley评分标准进行临床疗效评估,用髋关节正侧位X线片进行影像学评估。[结果]平均Harris评分由术前的48.5分提高到末次随访的85.1分,平均Charley评分由9.1分提高到15.7分。术后股骨头中心位置较术前外移、下移。所有患者髋臼组件稳定,没有出现明确的假体松动、断裂、移位、脱位或移植骨的重吸收。[结论]使用非水泥臼杯的全髋关节置换术,根据骨缺损情况结合自体骨移植,能有效治疗各种程度的髋臼内陷,恢复髋臼旋转中心的解剖位置,短中期临床疗效满意。

关键词(KeyWords)： 髋臼内陷;全髋置换;非水泥臼杯;自体骨移植

Abstract:

Keywords:

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作者(Author): 杨序程;周一新;唐杞衡;邵宏翊;

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参考文献(References)：

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