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全髋关节置换术治疗成人严重先天性髋关节发育不良的近期疗效观察 被引量:11

The Short-term Clinical Outcome of the Total Hip Arthroplasty for Adult Crowe Ⅳ Type of Congenital Hip Dysplasia
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摘要 目的:探讨全髋关节置换术治疗成人Crowe Ⅳ型先天性髋关节发育不良的近期疗效。方法2008年2月至2011年2月,对6例6髋成人Crowe Ⅳ型先天性髋关节发育不良进行了全髋关节置换术,其中男1例,女5例;年龄25~45岁,平均年龄30岁,并进行了3~5年的临床随访。结果6例患者均完全获得随访,平均随访时间为38个月。所有患者患髋功能基本正常,疼痛基本消失。平均Harris评分82分,1例患者术后出现坐骨神经牵拉症状,并随后恢复,1例患者在髋臼Ⅰ、Ⅱ区出现〈1mm的透亮线,股骨假体及髋臼假体未见松动,1例患者出现BrookerI型异位骨化,但对功能无影响。结论全髋关节置换术治疗Crowe Ⅳ型先天性髋关节发育不良的有效手术方法之一,且近期疗效满意。 Objective To investigate the short-term clinical outcome of the total hip arthroplasty for adult Crowe Ⅳ type of congenital hip dysplasia. Methods From 2008 February to 2011 February, 6 patients(6 hip)with adult CroweⅣtype of con-genital hip dysplasia were treat with total hip arthroplasty, including 1 male and 5 females with an average age of 30 years( range, 25~45 years) , the clinical follow-up time was 3~5 years. Results 6 patients were all obtained follow-up, the mean follow-up time was 38 months. The hip function of all patients was normal, the pain was disappeared. The average Harris score was 82 points, 1 patient suffered postoperative sciatic stretch symptoms and recovered subsequently, acetabularⅠ,Ⅱzone of 1 patient ap-peared 〈1mm bright line, femoral and acetabular prosthesis were no looseness, acetabulum of 1 patient appeared heterotopic ossi-fication of BrookerⅠ, but no effect on the function of hip. Conclusion The total hip arthroplasty for Crowe type IV congenital dysplasia of the hip operation is one of the effective methods, and has good recent therapeutic effect.
出处 《四川医学》 CAS 2015年第3期368-370,共3页 Sichuan Medical Journal
关键词 全髋关节置换术 先天性髋关节发育不良 短期临床疗效 total hip arthroplasty congenital dysplasia of the hip short-term clinical effect
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参考文献15

  • 1Harris WH. Traumatic arthritis of the hip after dislocation and ace-tabular fractures: treatment by mold arthroplasty. An end-resuh study using a new method of result evaluation [ J ]. J Bone Joint Surg Am, 1969,51 (8) :737-755.
  • 2Tompkins GS, Jacobs JJ, Kull LR, et al. Primary total hip arthroplas- ty with a porous-coated acetabular component. Seven-to-ten year re- suits[J]. J Bone Joint Surg Am,1997,79(13) :169-176.
  • 3Harris WH, McCarthy JC Jr. O'Neill DA. Femoral component loose- ning using contemporary techniques of femoral cement fixation [ J ]. J Bone Joint Surg Am, 1982,64(7) :1063-1067.
  • 4Kim YH, Kim JS, Oh SH, Kim JM. Comparison of porous-coated tita- nium femoral stems with and without hydroxyapatite coating[ J]. J Bone Joint Surg Am, 2003,85(9) :1682-1688.
  • 5Hartofilakidis G, Stamos K, Karachalios T, et al. Congenital hip disease in adults, Classification of accetabular deficiencies and operative treat- ment with acetabuloplasty combined with total hip arthreplasty [ J ]. J Bone Joint Surg( Am), 1996,78 ( 5 ) :683-692.
  • 6Harley JM, Wilkinson JA. Hip replacement for adult with unreduced congenital dislocation : a new surgical technique [ J ]. J Bone Joint Surg ( Br), 1987,69:752.
  • 7Linde F, Jensen J. Socket loosening in arthroplasty for congenital dislo- cation of the hip[ J]. Acta Orthop Scand, 1988,59(6) :254.
  • 8Perka C, Fischer U, Taylor WR, et al. Development hip dysplasia treat- mented with total hip arthroplasty with a straight stem and a threaded cup[J]. J Bone Surg Am,2004,86(2) :312-319.
  • 9孙俊英,唐天驷,朱国良,许立.全髋置换术治疗严重先天性髋臼发育不良(附10例报告)[J].江苏医药,1992,18(8):429-430. 被引量:1
  • 10李忠强,刘灿祥.人工全髋关节置换治疗成人先天性髋关节脱位19例(23髋)初步随访报告[J].中国矫形外科杂志,2007,15(9):713-714. 被引量:1

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