摘要
目的探讨在一次麻醉下进行双侧髋关节置换治疗晚期双侧股骨头缺血性坏死的安全性和有效性。方法选择2004年8月～2006年5月期间收治的6例患者,12个关节,其中男性4例,女性2例;年龄31岁～53岁,平均34.5岁。6例患者都在一次麻醉下完成双髋置换,生物型假体4例(8个关节);骨水泥型假体2例(4个关节)。结果经过7～28个月的随访按照Harris评分标准,术前:31.5±5.5分,术后:94.5±3.5分。结论同期双髋关节置换能明显改善髋关节功能,只要严格掌握手术适应证,并不增加手术并发症,表明是安全、有效的。可减少患者的住院时间,减轻其经济负担。
Objective To explore the safety and efficacy of one-stage simultaneous bilateral THA for the treatment of advanced avascular necrosis of femoral head. Method From Aug 2004 to May 2006. 6 Patients （12hips） were treated will one-stage simultaneous bilateral THA. 4 of them were male and 2 female with average ages 34.5years （31-55years）. 4 Cemented prostheses were used in 2 cases （4hips） and 8 non Cemented prostheses were used in 4 cases （8ships）. Result The Harris Hip score improved from 31.5- 5.5 .preoperatively to 94.5-3.5 at last follow-up Which ranged from 7 months to 28 months, conclusion One-stage simultaneous bilateral THA was a safe and effective method for bilateral avascular necrosis of femoral head without increasing complications as long so selecting the patients properly If can also decrease the length of stay and ecomic burden of the patients.
出处
《生物骨科材料与临床研究》
CAS
2007年第3期40-41,共2页
Orthopaedic Biomechanics Materials and Clinical Study
关键词
股骨头缺血性坏死
全髋关节置换
Femoral head avascular necrosis
Total hip artbroplasty
