ribbed柄和股骨髓腔匹配联系对假体稳定性影响的讨论_刘晓之.pdfVIP

提 要 目的：通过临床和影像学随访，分析探讨解剖型非骨水泥固定Ribbed股骨柄假 体与髓腔匹配的关系对人工全髋关节置换术的手术疗效的影响。 方法：选择从2010年03月至2012年03月，我院骨关节科应用非骨水泥型Ribbed 解剖型股骨柄假体实施人工全髋关节置换手术治疗髋关节疾病的患者60例62髋。回 顾分析获得随访的 60 例(62 髋) 的临床疗效及X 线片表现，分为两组，其中 A 组股骨 柄假体中立位 30 例（32 髋），B 组股骨柄假体轻度外翻位 30 例（30 髋），临床评估 应用Harris髋关节评分系统进行分析。影像学评估根据术后及随访时髋关节正位片， 观察股骨柄假体的稳定情况及有无术后并发症。通过两组对比，统计分析，探讨股骨 柄假体在临床安装过程中假体中立位与轻度外翻位有无差异。 结果：A 组患者术前 Harris 分值平均为33.82分，术后最近随访时 Harris 分值平 均为95.46分，B 组患者术前 Harris 分值平均为33.72分，术后最近随访时 Harris 分 值平均为 95.25 分，两组均显著高于术前。X 线片示两组股骨柄假体均长入良好，稳 定性良好。 结论：股骨柄假体在临床安装过程中假体中立位与轻度外翻位无明显差异 关键词 全髋关节置换术；Ribbed 柄； 中立位；轻度外翻位。 The impact of the matching relationship of Ribbed stem and the femoral marrow cavity on the stability of the stem Speciality: Traditional Chinese Orthopaedics and Traumatology Author: Liu Xiaozhi Tutor : Prof. LI Jin-song Abstract Objective: The clinical and radiological follow-up analysis to explore the impact of the matching relationship of Ribbed stem and the femoral marrow cavity on the stability of the stem in total hip arthroplasty surgery. Methods: From March 2010 to March 2012,the 60 cases (62hips) patients of our hospital Joint orthopaedic used the anatomic cementless Ribbed stem for total hip arthroplasty surgery treatment of hip disease . Retrospective analysis of 60 cases(62hips)were followed up for clinical efficacy and X-ray film,divided into two groups,Group A of neutral position of 30cases(32hips),Group B of the mild valgus position of 30 cases(30hips), clinical assessment of the Harris hip scoring system .The radiographic evaluation according to the postoperative and follow-up hip ray films, to observe the stability