非骨水泥型亚洲髋关节系统的近期临床疗效.pdfVIP

中国骨与关节损伤杂志2008年3月第23卷第3期 · 211 · · 论 著 · 非骨水泥型亚洲髋关节系统的近期临床疗效 章军辉 狄正林。 何志勇。 冯建翔 徐荣明。 摘要 目的 研究非骨水泥型亚洲髋关节系统的近期I临床疗效。方法 测量全髋关节置换 50例疗效，随访方法：①Harris髋 评分系统；②影像学观察采用Engh评分系统来评估股骨侧假体的骨长人及假体稳定性，Wixsen方法来评估股骨柄假体在股骨 髓腔内的匹配与充填。结果 有30例获得40个月的随访，术前的Harris髋评分平均为 (39±14．3)分 (20～62分)，术后评 分为 (93．3±4．4)分 (83～100分)，Engh评分得分为 (25．6±3．9)分 (17．9～28分)，所有患者都有股骨距萎缩，提示所 有股骨柄都已发生骨结合，而对照组 (施乐辉髋关节Synergy系统)30例Engh评分平均为 (18±3．5)分 (10．9～26分)，差 别有统计学意义 (P0．01)。非骨水泥型亚洲髋Wixsen评分近端1／3为 (68．8±8．5)％ (53．6％～80％)、中1／3为 (88．7± 11．8)％ (79％～100％)、远端 1／3为 (84．2±11．6)％ (64．4％～100％)，股骨柄近端1／3与股骨髓腔内的匹配与充填非骨水 泥型亚洲髋高于对照组 (P0．05)。结论 非骨水泥型亚洲髋关节系统股骨柄与股骨干骺端匹配较佳，两者之间有较高的骨 结合率，在中国人群中的应用，其近期的临床随访疗效较好。 关键词 非骨水泥型；亚洲髋；全髋置换术；骨结合 Short—term Follow—up of Cementless Asian Hip System ZhangJunhui，Di Zhenglin，He Zhiyong，et a1．Department ofJoint Surgery，the 6th Hospital ofNingbo，315040 Abstract 0bjective To study the short——term effects of the cementless Asian Hip System designed according to femur measurement in the As ian populations．Methods Fifty patients underwent the total hip arthroplasty with Asian Hip System through modified lateral ap— proach in the standard lateral decubitus position．The clinical results were evaluated by Harris scoring system．The bone integration stem stability and the fit—fill of the stern were tested by the method described by Engh and Wixsen，respectively．The data obtained were compared with that of another group of 30 cementJ,ess hips in the patients who were matched in sex，age，disease and follow—up period． Results Thirty patients were followed up for 40 months(22～50 months)．The preoperative and postoperative average Harris scores were 39±14．3(20～62)，93．3±4．4(83～100)respectively．The Engh score was 25．6±3．9(17．9～28)in the group of户4；an Hip，and 18±3．5(10．9--26)in the control group．Therewas significant difference(P0．