全髋关节置换术治疗强直性脊柱炎晚期髋关节严重畸形.pdfVIP

.654. 中国骨伤2∞8 年9 月第 21 卷第9 期 China J Orthop Trauma ，Sep.2肌8， Vo1.21 ,No.9 ·临床研究· 全髓关节置换术治疗强直性脊柱炎晚期髓关节 严重畸形 刘欣，白人挠 (天津医院关节病科，天津 3∞211) {摘要}目的:总结会髓人工关节置换术治疗强血性带拉炎晚期俄关节严1世畸形的临床疗效。方法:随访 1992 年 至 2ω5 年采用全镜人工关节置换术治疗强血性脊柱炎晚期严重直关节畸形 33 例共计 45 个配关节，比较乎;j(..前后疼 痛指徽、畸形角度、关节活动范阁、单腿负重能力改变.a术后并发症。结果:27 个舰关节术后元疼痛，疼痛指数乎均下 0 0 降1.0 级:水榄屈曲畸形角度平均改~44.17 ;*-后关节活动Jt平均改善 58.4 ;31 个乎;j(..关节可单腿负重。有 22 个关 节出现，不同稼Jt股骨头假体下陷，1 例患者于假体安装后因暴力l.位导曼史坐骨神经挫伤，术后 8 个月恢复。结论:应用 金fl 关节置换术治疗强直性褥拉炎晚期髓关节严重畸形的中期临床疗效比较满意。 l 关键词} 强.t性梅栋戎; I配关节: 畸形; 合舰关节I换~ Total hip replacement in 伽treatment of severe deformity of 伽hip caused by adv8nced ank泸州ngspondyli伽 L/U Xin.BAl Ren-x阳. The Dep刷刷ntofJo川剧seme ,Tianjin Hωpital ， TIωnjin 3ω211 ,China ABSTRACT Objective: To evaJuate the clinicaJ results of 由e total hip replacement in the treatment of severe defonnity of the hip joint caused by advanced 且nkylosing spondylitis. Methods:Forty-five hips with severely defonnities in 33 patienωsuf­ fered from advanced ankylosing spondylitis treated by ω，taJ hip replacement were followed吨lp from 1992ω2ω5 in ourd叩art­ ment. 咀e pwn index ,defonnity angle ,range of motion of 耻joint ， changes of weight baring capacity of a single 峙，and 由e postoperative complications were compared and ana1ysed in 由is s阳dy. Results:ηle pain w嗣 complete releωed in 27 hips af- 0 协rs旧gery ;the ave吨;e pain index decreased I grade. The 制gle of flexion de如nnity of hip decre耐d by 44.17 且附百gely. The average range of motion of the hip improved 58.4飞回irty-one operated híps could bare weight itself. Twenty-two hips occurred prosthesis Sinking of the femur he时prosthesis occun时in 22 hips. The sciatic nerve was contu脚d in one c附加cau