摘要
目的探讨全髋关节置换术治疗成人先天性髋关节脱位继发假臼骨关节炎的经验。方法1998年4月～2000年4月,对9例14髋成人先天性髋关节脱位继发假臼骨关节炎患者,进行了全髋关节置换术。其中双侧5例,单侧4例。结果术后伤口均一期愈合,经6个月～2年的随访,平均Harris评分由术前的33.93分恢复到术后6个月的89.21分。患者均能自行下地行走,生活自理且恢复日常工作。结论全髋关节置换术是治疗成人先天性髋关节脱位继发假臼骨关节炎的有效方法,但手术难度较大。手术中应充分考虑先天性髋关节脱位的原发及继发性病理改变,以采取相应的措施。
Objective To summarize the experiences of total hip replacement in the treatment of osteoarthritis secondary to congenital dislocation of hip in adults. Methods From April 1998 to April 2000, fourteen hips in nine adult patients with osteoarthritis secondary to congenital dislocation of hip undergone total hip replacement were included in this study. There were seven females and two males. The age of the patients at surgery ranged from 27-53 years (mean, 45.56 years). Five patients underwent bilateral total hip replacements and 4 had unilateral total hip replacement. Results The incision healed smoothly. The duration of follow up ranged from 6 months to 2 years. All the patients could walk independently after the surgery. They could take care of themselves and restored to previous job. The average Harris score was increased from 33.93 to 89.21 points after the surgery. Conclusion Total hip replacement is an effective method in the treatment of osteoarthritis secondary to congenital dislocation of hip in adults. The four special problems encountered in the procedure such as the position of the acetabular component, the implantation of the femoral stem, the reconstruction of the abductor power, and correction of the leg length discrepancies should be considered. It is a challenging work to the orthopaedic surgeon and the careful preoperative planning is recommended.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
2002年第4期212-215,共4页
Chinese Journal of Orthopaedics
关键词
关节成形术
先天性髋脱位
疗效
全髋关节置换
Arthroplasty, replacement, hip
Hip dislocation, congenital
Treatment outcome
