摘要
目的 研究股骨头缺血性坏死修复重建术后与全髋关节置换术后异位骨化的发生率。方法1994年6月～2004年12月，收治因股骨头缺血性坏死行修复重建患者共1005例，其中随机选择Ficat和AlertX线分期Ⅲ、Ⅳ期患者74例（A组），观察异位骨化的发生率；与随机从465例同期全髋关节置换患者中选取80例（B组）的异位骨化发生率进行比较。结果A、B组术后均获随访2-10年，平均6．5年。修复重建术组发生异位骨化4例，异位骨化率5．4％；全髋关节置换术组发生异位骨化18例，异位骨化率22．5％；两组差异有统计学意义（P〈0．01）。结论股骨头缺血性坏死修复重建术后异位骨化发生率较低，适用于青壮年患者。全髋关节置换术后异位骨化发生率较高，适用于老年患者。
Objective To compare heterotopic ossification between femoral head reconstruction and total hip arthroplasty （THA） in patients with ischemic necrosis of femoral head （INFH）. Methods Between June 1994 and December 2004, the femoral heads were repaired in 1 005 patients with INFH,the total hip was replaced in 485 patients with INFH. The rate of heterotopic ossification was observed in 74 （Ficat Ⅲ to Ⅳ stages） of 1 005 patients and 80 of 485 patients given THA to compared the results of the two methods. Results These patients were followed up 2 to 10 years（6. 5 years on average）. The rates of heterotopic ossification were 5.4% （4/74） and 22.5% （18/80）, respectively. There was statistically significant difference between two operative methods （P〈0. 01）. Conclusion The rate of heterotopic ossification of femoral head reconstruction is lower than that of THA, so femoral head reconstruction is a better operative method for young patients and THA is suitable for old patients.
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2006年第5期553-554,共2页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
股骨头缺血性坏死
全髋关节置换术
异位骨化
Femur head ischemic necrosis Total hip arthroplasty Heterotopic ossification
