摘要
髋部人工假体置换85例，其中人工全髋关节置换16例，人工股骨头置换69例。结果显示，全髋置换病人中，优良级和很好级病例占75％；人工股骨头置换病人中，优良级和很好级病人占76．8％。作者认为，（1）髋关节直接外侧切口具有创伤小，暴露清楚，操作方便，无坐骨神经损伤及不易产生髋关节脱位等优点．（2）假体位置不当是造成手术失败的主要原因之一。（3）在一般情况下，应首先考虑运用多孔面型人工关节，只有在某些特殊情况下才考虑使用骨水泥。
Authors reviewed 16 cases of total hip arthroplasty and 69 cases of femoral head arthroplasty, Excellent and good results were seen in 75% of total hip arthroplasty and in 76. 8% of femoral head arthroplasty. Authors believed that(1 )advantages in direct lateral approach to the hip might provide lesser trauma,adequate expo-sure,simple performance,less chance of damage of the sciatic nerve, lower incidence of post-operative dislocationand so on; (2)prosthesis in unsuitable position is one of the main causes of operative failure 1 (3)generally the firstchoice is to use the PCA prosthesis without bone cement,except for some special circumstances.
出处
《江苏医药》
CAS
CSCD
1996年第7期451-453,共3页
Jiangsu Medical Journal
关键词
全髋关节置换术
人工股骨头
骨水泥
Surgical approach
Total hip arthroplasty
Femoral head arthroplasty
Bone cement
