摘要
[目的]初步探讨髋关节表面置换术的病例选择及手术技巧。[方法]自2004年10月-2007年2月,对8例患者10髋施行髋关节表面置换术,注意病例选择及手术技巧。[结果]所有病例早期无股骨颈骨折、感染、关节脱位、血管、神经损伤、深静脉栓塞、无异位骨化等并发症。患者Harris评分由手术前的35～56分、平均45分增加到术后的93～99分、平均95分,DDH病例肢体不等长术后纠正。X线测量X线测量:髋臼外展角40°～50°,平均44°;股骨侧短柄外翻角134°～143°,平均139°;股骨头颈off-set率平均为0.20;未见假体松动、股骨颈变狭窄、短柄周围未见透亮区。[结论]髋关节表面置换术对年轻及活动度大的病人非常适合,但要注意病例选择及手术技巧。
[Objective]Primarily discuss cases selection and operation skill of hip joint superficial substitution. [Method]From Oct. 2004 to Feb. 2007, 10 hip joints of 8 cases were made superficial substitution, paying attention on cases selection and operation skill. [Result]All cases had no such complications as femur neck fracture, infection, joint dislocation, vessel or nerve injury, deep vein embolism or ectopic ossification in early stage. The patients＇ score increased to 93-99 and average 95 from 35-56 and 45 before operation, the unequal limbs were corrected for DDH cases. On X-ray measurement： 40°-50° for acetabula abduction angle, 44° in average; 134°-143°, 139° for short-handle eversion angle of femur lateral; average off-set rate was 0.20 for femur neck; no loose prosthesis or narrow femur neck, no bright zone around short-handle. [Conclusion]Hip joint superficial substitution is very fit for young people with much sports, but we should pay attention to case selection and operation skill.
出处
《浙江中医药大学学报》
CAS
2007年第4期453-455,共3页
Journal of Zhejiang Chinese Medical University
关键词
髋关节表面置换
病例选择
外科技术
临床研究
hip joint superficial substitution
case selection
operation skill； clinical research
