摘要
目的 :探讨同期双髋关节或同侧髋膝关节置换术治疗下肢多关节病变畸形的经验。方法 :对 6例严重晚期风湿性疾病并发下肢多关节畸形患者 ,在同次手术施行双侧髋关节置换 4例 ,同侧髋膝关节置换 2例。结果 :术后经 6个月～ 3年的随诊 ,髋关节活动度由术前平均 47°恢复到 14 8.5° ,膝关节活动度由术前 17.5°恢复到 95°。全部病例均可独立或扶拐下地行走。结论 :下肢多关节病变的同期双髋或同侧髋膝关节置换术 ,对于严重的下肢多发畸形的治疗 ,具有省时、康复方便、见效快等优点。但难度大 ,应严格掌握适应证。
Objective: To evaluate the effects of bilateral hip or ipsilateral hip and knee replacement under the same anesthesia as a surgical procedure on some rheumatoid arthritis patients with severely deformed lower extremities. Methods: Six such patients were treated with operation. 2.cases underwent ipsilateral hip and knee replacement, and 4 cases underwent bilateral total hip arthroplasty. Results: The follow up period extended from 6 months to 3 years. According to Harris and HSS evaluation system, the average preoperative score was 47 degrees, and the postoperative was 148.5 degrees in the hip movement. The average preoperative score was 17.5 degrees, and the postoperative was 95 degrees in the knee movement. All the patients were satisfied with the surgical results. And the functions of the lower extremities were remarkably improved. Conclusions: Bilateral hip or ipsilateral hip and knee replacement as a surgical procedure is an effective and time saving treatment for patinets with multiple joints deformity. But this procedure has some difficulties.
出处
《中国矫形外科杂志》
CAS
CSCD
2000年第2期120-122,共3页
Orthopedic Journal of China
关键词
髋膝
关节置换
下肢多关节畸形
风湿性疾病
Bilateral hip arthroplasty Ipsilateral hip and knee replacement Rheumatoid arthritis
