摘要
目的探讨创伤性股骨头坏死的病因及应用全髋置换术治疗的优点。方法回顾性分析应用全髋置换术治疗38例创伤性股骨头坏死的临床资料。结果全髋置换术后随访5月-60月，平均34个月，根据Harris髋关节评分标准，术前平均（35．4±7．3）分，术后末次随访，优22例，良14例，中2例，优良率为94．7％。结论暴力大小、复位质量、骨折类型均可影响创伤性股骨头坏死发生；全髋置换术治疗创伤性股骨头坏死技术成熟、疗效肯定。
Objective To explore the causes of the traumatic osteonecmsis of femoral head and the advantage of the total hip arthroplasty. Methods To retrospectively analyze the clinical materials of 38 patients with traumatic osteonecrosis of femoral heads treated using the total hip arthroplasty. Harris hip Scores were used to evaluate postoperative functions of the daily life and work. Results 38 patients were followed up for an average of 34 months （5 to 60 months）.According to Harris hip Scores,the preoprative average score was 35.4 ＋ 7.3; last postoprative follow-up shows that 22 patients were excellent,14 patients were good,2 patients were fine,the rate of excel- lence and goodness was 94.7%. Conclusion The causes of the traumatic osteonecrosis of femoral heads were ralated with the violence, the quality of reduction and the tapes of fracture.THA is an efficient and assured method for the treatment of the traumatic osteonecrosis of femoral heads.
关键词
股骨头坏死
创伤
全髋置换术
osteonecrosis of femoral head
trauma
total hip arthroplasty
