摘要
目的:探讨全髋关节置换术治疗髋臼骨折的疗效与方法.方法:回顾全髋关节置换术治疗髋臼骨折患者17例,总结分析其手术入路的选择,异位骨化组织、内固定物以及髋臼骨缺损的处理方法.结果:17例病人中有14例得到随访,平均随访时间为3年7个月(1年2个月～9年8个月).出现感染1例,脱位1例,无菌松动2例.术后再次异位骨化者2例,其中1例引起坐骨神经症状,再次行神经松解术.所有随访病例,髋关节功能均有改善,Harris评分由术前平均51分,提高到术后89分.结论:选择正确的手术入路,适当处理异位骨化组织和内固定物,重建髋臼骨缺损,是全髋关节置换治疗髋臼骨折成功的关键.
Objective:To introduce methods and results of total hip replacement for acetabular fractures.Method:Retrospectively analyzed the outcome of 17 cases of acetabular fractures with total hip replacement,and evaluated the option of surgical approaches,the management of the dense scar tissue from a previous procedure,the dealing methods of retained hardware and heterotopic bone,and the reconstruction of residual osseous deficiency.Result:Fourteen of 17 cases were followed up for an average time of 3 years and 7 months(ranged from 1 year and 2 months to 9 years and 8 months).Postoperative infection occurred in 1 case,dislocation in 1 case,and aseptic loosing in 2 cases.Excepted that,2 cases of heteropic ossification recurred after total hip replacement,and 1 of them had severe pain of sciatic nerve,so the neurolysis operation had been done later.The hip joint functions of all the following patients improved obviously after operation.Harris scoring improved from 51 preoperatively to 89 postoperatively.Conclusion:Reasonable surgical approaches,proper management of heteropic ossification and internal fixing hardware,and reconstruction of acetabular bone defect are essential to a successful outcome of acetabular fractures with total hip replacement.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2005年第6期407-410,共4页
Orthopedic Journal of China
关键词
髋臼骨折
关节成形
自体骨移植
全髋关节置换
Acetabular fracture
Arthroplasty
Bone autografting
Total hip replacement
