组配式假体在工全髋关节翻修术中应用的短期疗效分析.pdfVIP

提 要 目的：观察比较组配式假体在全髋关节翻修术中应用前后的短期疗效，总结治 疗体会。 方法：收集山东中医药大学附属医院关节骨科2008年6月至 2011年9月骨科 病房收治的符合纳入标准的全髋关节翻修患者 20 例，采用德国 LINK 公司非骨水泥 组配式翻修假体MPTM 系统对20位患者行全髋关节翻修术，经治疗均达到解除疼痛， 重建髋关节的功能和纠正髋关节畸形的目的。所有患者治疗前进行髋关节功能评分， 治疗后进行随访，术后应用Harris评分标准对患者进行髋关节功能评价，对比手术 TM 前后患者Harris评分，分析MP 系统在全髋关节翻修术中的短期疗效。 结果：20例患者手术后刀口均为I期愈合，无下肢DVT及肢体不等长，术后髋 关节脱位等并发症的发生。患者均获得随访,随访时间为8-39个月。随访期间未出现 假体松动下沉，假体周围感染。假体周围骨长入良好。术前Harris评分平均为 43.3 ±10.32分,末次随访平均为90.0 ±5.17分。与手术前比较p0.05有统计学意义。 结论：采用组配式翻修假体行人工全髋关节翻修术效果明显,可以调节长度,偏心 距,前倾角可以独立匹配远近端股骨，达到初期与长期的假体稳定性。髋关节翻修手 术临床效果比较满意。 关键词 组配式假体；髋关节；翻修术 A Clinical Analysis of Short-term Effect of the Modular Femoral ， Prosthesis Application in Total Hip Revision Surgery Speciality: Orthopedics of TCM Author:wang Dong Lei Tutor: Prof Qiu Hong Ming Abstract Objective：To compare the short-term effect of the group with type prosthesis before and after the application of total hip arthroplasty and summarize the treatment experience. Methods ：Collect 20 cases of revision total hip arthroplasty patients that met the inclusion criteria of Affiliated Hospital of Shandong University of Traditional Chinese Medicine joint orthopedic wards admitted in June 2008 to September 2011, using German LINK uncemented group with renovated prosthesis MPTM for total hip arthroplasty. 20 patients were treated to relieve pain, rebuild the function of the hip for the purpose of correcting the hip deformity. Score all patients before treatment, and make the follow-up evaluation of the postoperative, using the Harris scores of hip function in patients, comparing the preoperative and postoperative Harris hip score in patients w