摘要
作者报道６７例人工全髋关节置换术（ＴＨＡ）后异位骨化，发病率２４．５％，其中Ｂｒｏｏｋｅｒ分级，Ⅰ级２１例，Ⅱ级１８例，Ⅲ级１７例，Ⅳ级１１例。ＴＨＡ后异位骨化与全身（性别，髋关节疾病及术后解热镇痛药）和局部（骸关节手术史，大转子截骨，手术入路，麻醉方法及软组织创伤）因素密切相关。作者认为对于男性，增生性骨性关节炎和强直性脊柱炎等高危患者，ＴＨＡ应避免局麻和大转子截骨，术后采用解热镇痛药和放疗进行预防和治疗。
AbstractPeriarticular heterotopic ossification(PHO) aftertotal hip arthroplasty (THA)were seen in 67 cases.The incidence was 24.5%. Evaluation of PHO usingBrooker’s classification revealed grade Ⅰ in 21 cases,Ⅱin 18 cases,Ⅲ in 17 cases, Ⅳ in 11 cases. The au-thors concluded that both systemic (sex,coxarthrosis,postoperative treatment with antit-inflammatory drugs)and local factors(previous operations on the ipsilateralhip,trochanteric osteotomy, surgical approach,anaesthesia methods,injury of soft tissues) wereclosely associated with the development of PHO. Forthe prevention of PHO,epidural anesthesia andtrochanterlc osteotomy should be avoided during THAin male patients with OA and ankylosing spondylitis.NSAIDS and irradiation were adopted for prophylaxisand treatment of PHO following THA.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1995年第3期152-154,共3页
Chinese Journal of Orthopaedics
