全髋置换术治疗成人先天性髋关节发育不良24例.pdfVIP

34 JBengbuMedColl，January2015，Vo1．40，No．1 [文章编号]1000-2200(2015)01-0034-03 ·临床 医学 · 全髋置换术治疗成人先天性髋关节发育不 良24例 干子阳，周建生 [摘要]目的：探讨成人髋臼发育不良患者行全髋关节置换术后的中近期疗效。方法：对24例成人先天性髋关节发育不良采 用全髋转换术治疗 ，收集术前 Harris评分、术后 X线片、手术时间及出血量等临床数据并分析。结果：随访24—36个月。 Harris评分：术前28～65分，术后72～92分。术后无坐骨神经麻痹、下肢深静脉栓塞、切口感染和人工关节脱位等并发症 ， x线显示假体位置良好，未见无菌性松动和假体下沉等征象。结论 ：全髋置换术治疗成人先天性髋关节发育不良，近期效果 良 好；术前充分评估 ，选择合适假体，术中重建髋臼中心是手术成功的关键。 [关键词]髋关节发育不 良；全髋置换术；成人 [中图法分类号]R681．1 【文献标志码]A DOI：10．13898／j．cnki．issn．1000-2200．2015．01．o11 Theeffectoftotalhipreplacementinthetreatment ofdevelopmentaldysplasiaofthehip in24adults GANZi—yang，ZHOUJian—sheng (DepartmentofOrthopedics，TheF AffiliatedHospitalofBengbuMedicalCollege，BengbuAnhui233004，China) [Abstract]Objective：ToexploretheReal一andmiddle-termcurativeeffectsoftotalhipreplacementinthetreatmentofdevelopmental dysplasiaofthehip(DDH)inadults．Methods：Twenty—fourpatientswithDDHweretreatedwithtotalhipreplacement．Thepreoperative Harrisscores，postoperativeX-ray，operationtimeandbleedingvolumeofallcaseswereanalyzed．Results：Allpatientswerefollowed—up for24to36months．ThepreoperativeandpostoperativeHarrisscoreswere28to65and72to92，respectively．Thesciaticnervepalsy， deepveinthrombosis，woundinfectionandartificial dislocationwerenotbefoundinallpatients．X—rayshowedtheprosthesislocation wasgood，and no aseptic looseningand sinkingofprosthesisappeared．Conclusions：Thenear—term curativeeffectsoftotal hip replacementin the treatmentofDDH ofadultsraegood．The sufficientpreoperative assessment，choosingsuitable prosthesisand reconstructionofacetabulum centerarethekeyofsuccessfuloperation． [Keywords]hipdysplasia；totalhipreplacement；adult 髋关节发育不 良(developmentaldysplasiaofthe 40～52岁。按Growe分型为 I型9例，Ⅱ型 1O例， hip，DDH)是因髋臼先天发育缺陷导致长期生物力 Ⅲ型2例，