摘要
目的探讨脑血管意外患者行人工髋关节置换术后产生并发症的原因及防治措施。方法采用人工髋关节置换术治疗脑血管意外患者１２例，分析其术后出现并发症的原因，并提出预防措施。结果平均随访２年３个月，近期无痛或轻微痛关节１０个，关节功能明显改善９个，术后发生并发症５例，其中关节脱位４例（后发生异位骨化１例、髋痛２例），假体松动１例。结论脑血管意外患者因髋部疾病致功能障碍而行髋关节置换手术者术后关节脱位发生率较高；术后不宜过早负重下地活动；加强康复训练是手术成功的重要因素之一。
Objective To study the causes and treatment of postoperative complications in cerebrovascular
accident (CVA) patients with hip joint replacement. Methods 12 cases of CVA were treated by
artificial hip joint replacement. 8 cases and 4 cases had total hip and femoral head arthroplasty
respectively. Results The average followup was 2 years and 3 months. There were 10 joints
without pain recently or with slight pain and 9 joints with obvous improvement of their functions.
There were 5 patients with complications. 4 cases had dislocation(2 cases complained of pain
in hip joint and 1 case had the loosening of the prosthesis), and 1 case appeared heterotopic
ossification after operation. Conclusion Prosthesis dislocation occurs more frequently in CVA
patients with hip joint replacement. It is important not to walk immediately after operation.
Rehabilitation training through the course of the disease is the key to reducing complications.
出处
《临床骨科杂志》
1999年第2期142-143,共2页
Journal of Clinical Orthopaedics
