摘要
目的:分析人工全髋关节置换(THA)治疗陈旧性髋臼骨折的早期临床疗效。方法:自2007年1月至2010年6月采用THA治疗陈旧性髋臼骨折13例(13髋),其中男10例,女3例。10例髋臼骨折曾行单纯内固定治疗,3例曾行保守治疗。采用髋关节功能Harris评分评价疗效。结果:术后13例全部得到随访,持续1年,分别拍摄患侧髋关节正侧位X线片,对患侧髋关节功能进行Harris评分。术后随访1年,未见假体松动征象,Harris评分平均(83.38±3.33)分,较术前(37.19±20.12)分明显提高。结论:陈旧性髋臼骨折因骨折畸形愈合,内固定失败后骨折再次移位,大面积不规则骨缺损等问题,治疗难度大,术中恢复解剖位置困难,THA是治疗陈旧性髋臼骨折有效手术方法。但较普通全髋关节置换,需很强手术经验和技巧。
Objective：To analyze the early clinical effects of total hip arthroplasty （THA） for the treatment of old acetabu- lar fractures. Methods： From January 2007 to June 2010, thirteen patients with old aeetabular fractures were reviewed, includ- ing 10 males and 3 females. Ten patients were treated with internal fixation and conservative treatment had been used in three patients. The average Harris Hip Score was used to evaluate therapeutic effects. Results：After operation,all thirteen patients were followed up for one year. Hip X-ray films were taken and prosthesis loosening was not seen on any of the films at the 1st year after operation. The Harris Hip Score improved from preoperative （37.19±20.12） to postoperative （83.38±3.33） ,there was statistically significant difference. Conclusion：For reasons of malunion or failure of internal fixation,large and various bone defect, it＇s difficult to reach the anatomical reduction. THA is a good treatment method, but it needs rich skills and expe- rience compared with ordinary operation.
出处
《中国骨伤》
CAS
2012年第6期505-508,共4页
China Journal of Orthopaedics and Traumatology
基金
全军医学科学技术研究"十一五"计划课题项目(编号:06G043)~~
关键词
关节成形术
置换
髋
髋臼
骨折
髋关节
Arthropalsty,replacement,hip
Acetabulum
Fractures
Hip joint
