摘要
目的:研究分析大转子顶点测量法在髋关节置换术中平衡双下肢长度的临床疗效,探讨其预防术后双下肢不等长的应用价值。方法:对比分析2019年1月至2021年12月符合要求的81例行髋关节置换手术的病例资料,其中男32例,女49例;年龄为63~97岁,平均为(74.8±8.0)岁。术中使用两种不同方法平衡双下肢长度,41例采用大转子顶点测量法(观察组),40例采用Shuck试验法(对照组)。术前、术后均拍摄标准低中心骨盆正位片,测量双下肢长度差,比较两种方法平衡术后双下肢长度的优劣。结果:两种方法在手术时间、术中出血量、术后患侧偏心距及术后6个月Harris评分差异无统计学意义(P<0.05)。两组术后双下肢长度差平均值分别为(3.80±2.52)mm和(5.45±3.38)mm,差异有统计学意义(P<0.05),且观察组优于对照组。两组术后6个月步态评分分别为(10.78±1.28)分和(9.90±1.84)分,差异有统计学意义(P<0.05),且观察组优于对照组。结论:采用大转子顶点测量法来避免股骨颈骨折髋关节置换术后双下肢不等长是一种操作简单、性价比高、准确性满意的方法。
Objective:To study and analyze the clinical efficacy of greater trochanter vertex measurement in balancing leg length discrepancy(LLD)in hip arthroplasty,and to discuss the application value of preventing leg length discrepancy after surgery.Methods:The case data of 81 cases treated by hip arthroplasty in hospital from January 2019 to December 2021 were retrospectively analyzed.There were 32 males and 49 females,ranged from 63 to 97 years old with an average of(74.8±8.0)years old.Two different methods were used to balance the leg length in surgery,41 cases were measured by the method of greater trochanter vertex reference(experimental group),and the other 40 cases were measured by the method of Shuck test method(control group).Standard low center pelvic anteroposterior X-ray was taken to measure the leg length discrepancy and to compare the advantages and disadvantages of two methods before and after surgery.Results:There is no significant differences in operation time,the intraoperative blood loss,the postoperative femoral offest of affected side and the postoperative Harris score among the two groups.The postoperative difference of leg length by the two methods were respectively,(3.80±2.52)mm and(5.45±3.38)mm.There was statistically significant differences between the two groups(P<0.05),and the experimental group is better than the control group.The postoperative gait score by the two method were respectively,(10.78±1.28)points and(9.90±1.84)points,the difference was statistically significant(P<0.05),and the experimental group is better than the control group.Conclusion:It is a simple,cost-effective and accurate method to avoid the leg length discrepancy after hip arthroplasty for using the greater trochanter vertex reference method.
作者
肖群
孔铭
李世君
李刚
戴贺
XIAO Qun;KONG Ming;LI Shijun;LI Gang;DAI He(Jingmen Hospital of Traditional Chinese Medicine,Jingmen 448000,Hubei China)
出处
《中国中医骨伤科杂志》
CAS
2023年第4期31-35,共5页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
荆门市科研项目(2021YFYB029)。
关键词
大转子顶点
测量
髋关节
关节成形术
股骨颈骨折
下肢不等长
greater trochanter
measurement
hip
arthroplasty replacement
femoral fracture
leg length discrepancy
