摘要
目的回顾分析40例髋臼骨缺损的髋关节置换术后近期疗效。为临床上对髋臼骨缺损的人工髋关节置换术术中髋臼骨缺损的评估、植骨方式、髋臼重建方式及预后提供初步依据。方法通过对我科1998年1月-2004年1月间对髋臼骨缺损行人工髋关节置换术的58例患者进行随访,通过Harris评分和髋关节X线片两方面进行疗效评价。结果58例患者取得完整随访资料有40例(40髋),随访时间为24～70个月,平均56个月。其中男性22例,女性18例,年龄23～75岁,平均56.5岁。结果显示:术前平均HHS为26.50分,术后平均HHS为86.83分。术后疗效明显改善(P<0.01)。结论使用带缝匠肌髂骨瓣植入修复髋臼节段型缺损为活骨移植,成骨效果良好。对于节段型骨缺损,植骨时应辅以颗粒骨,并尽量选用较稳固的钉板系统固定。
Objective To analyze the curative effect of acetabular defects undergoing （THR） and offer references for intraoperative assessment of host bone stock, bone graftin total hip replacement g and acetabular reconstruction. Methods Fifty-eight patients with acetabular defects received THR in our department from January 1998 to January 2004 and were followed up. The efficacy was assessed by Harris hip score and radiographs of the hip joint. Results Among the 58 patients, 40 reacted to our follow-up and thus complete follow-up data were got. The average duration of follow-up was 56.00 months （ 24 - 70 months）. The average age was 56.5 years （23 -75 years）, including 22 male and 18 female. The mean preoperative Harris hip score （HHS） was 26.50. The mean postoperative HHS increased to 86.83. The postoperative effect was substantially improved as compared with preoperative one （P 〈 0.01 ）. Conclusion This classification can simplify and standardize the evaluation of acetabular defects and guide treatment as well. As a kind of vital bone grafting, the pedicled sartoflus muscle iliac bone grafting for reconstruction of acetabular defects can facilitate bone formation. For segmental acetabular defects, morseled bone should be used together with bone grafting. A firm plate and screw system is also essential to achieve good results.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2007年第17期1716-1718,共3页
Journal of Third Military Medical University
关键词
髋臼
关节成形术
置换
移植
acetabulum
arthroplasty
replacement
transplantation
