摘要
目的探讨全髋关节置换术治疗髋臼发育不良(DDH)的髋臼重建与术式选择。方法对25例(28髋)因DDH致髋关节骨性关节炎患者行全髋关节置换术。根据Crowe分期,Ⅰ期4髋,Ⅱ期12髋,III期9髋,IV期3髋。术前Harris评分20～55分,平均46分。结果 25例均获随访,时间6个月～6年,平均随访时间4年。术后Harris评分为82～95,平均90分。结论全髋置换术解除患者症状,改善关节功能,提高生活质量,是一种行之有效的治疗方法。手术成功的关键在于髋臼的重建与假体的选择。
Objective To introduce the results of total hip arthrop lasty in the treatment of developmental dysplasia of the hip（DDH）.Methods A total of 28 hips in 25 patients underwent total hip arthroplasty.According to the Crowe classification,4 hips belonged to typeⅠ,12 typeⅡ,9 typeIII,3 typeIV.Harris scores before operation were 20～55 with an average scores of 46.Results All the patients were followed up for 6 months～6 years.The Harris scores after operation were 82 ～ 95 w ith an average scores of 90.Conclusion Total hip arthroplasty is an effective method for the treatment of osteoarthritis secondary to DDH.The key techniques for the total hip arthroplasty are the acetabulum reconstruction and surgery way.
出处
《生物骨科材料与临床研究》
CAS
2010年第5期46-48,52,共4页
Orthopaedic Biomechanics Materials and Clinical Study
关键词
全髋置换术
髋臼发育不良
髋臼重建
Total hip arthroplasty
Developmental dysplasia of the hip
Acetabulum reconstruction
