摘要
对股骨头缺血坏死的早期治疗已取得较好的结果 ,但对股骨头已塌陷治疗效果并不满意 ,我们采取开放复位加骨水泥内固定治疗这类病人 2 1例 (2 2侧髋 ) ,均属于股骨头坏死Ⅲ期 ,随访 1～ 3年 ,平均 1.7年 ,术前术后根据Har ris髋关节评分标准 ,骨性关节炎指数和SF36健康状况调查表评定治疗效果 ,所有病人均感到术后疼痛减轻 ,功能改善。三个评分指标分别为 5 4.2～ 82 .2 (P <0 .0 5 ) ,5 5 .8～ 2 8.7(P <0 .0 5 ) ,2 7.5～ 43 .1(P <0 .0 5 )。 6例病人进行了全髋置换。该方法简单 ,病人恢复快 ,但长期随访及预后有待进一步研究。
Current treatment for femoral head avascular necrosis has shown good results in early stages of disease, but are not as impressive after progression to collapse. We treated 21 patients(22 hips) with Stage Ⅲ avascular necrosis (AVN) by open reduction and internal fixation(ORIF), augmented by methylmethacrylate cementation. Follow up ranges from 1 to 3 years(average=1.7 years). We followed patient progress with pre and post operative Harris Hip Scores, Womac Osteoarthritis Index, and a Health Status Questionnaire(SF36). All patients realized immediate post operative pain relief and improvement in function. Harris Hip, Womac Osteoarthritis Index and SF36 physical health scores improved significantly from 54.2 to 82.2( P <0.05) and 55.8 to 28.7( P <0.05), and 27.5 to 43.1( P <0.05),respectively. Six patients had a conversion to total hip arthroplasty. Cementation is technically simple, burns no bridges and enables patients a rapid recovery. The long term results in regard to progression of disease and secondary arthritis are unknown.
出处
《中国矫形外科杂志》
CAS
CSCD
2001年第6期559-562,共4页
Orthopedic Journal of China
关键词
开放复位
缺血坏死
股骨头骨折
治疗
Open reduction
Avascular necrosis
Femoral head
Fracture
