摘要
目的评价干骺端全髋(METHA)短柄髋关节系统在髋关节置换中的临床效果。方法回顾性分析13例髋关节疾病患者行短柄髋关节假体置换术的手术时间、术中出血量、进行关节功能(Harris)评分和放射学评估。结果随访9～15个月,平均12个月。手术时间120～180min,平均150min;术中出血量200～600ml,平均400ml。患者无一例发生伤口感染、术后脱位、双下肢不等长和假体松动等并发症。术前Harris评分(38.6±1.3)分,术后12个月Harris评分(89.4±3.0)分。结论应用METHA短柄髋关节系统置换髋关节具有创伤小、出血少、符合人体生物力学、假体稳定、假体易翻修的特点,具有较好的临床应用前景。
Objective To explore the clinical effectiveness of metaphyseal total hip arthroplasty（METHA）.Methods Totally 13 patients with hip joint diseases underwent METHA in our hospital.The operation duration,intra-operative blood loss,Harris scores,and radiological findings were retrospectively analyzed.Results Patients were followed up for 9～15 months（mean：12 months）.The duration of operation ranged 120～180 min（mean：150 min）.The intra-operative blood loss was 200～600 ml（mean：400 ml）.No complication such as wound infection,postoperative dislocation,inequality of lower limbs,or prosthetic loosening was reported.Harris scores were（38.6±1.3）before surgery and（89.4±3.0）12 months after surgery.Conclusion METHA has many advantages such as less invasive,fewer blood loss,good compliance with human biomechanics,stable implant,and good maintainability,which guarantee their further clinical application.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第32期3668-3670,共3页
Chinese General Practice
关键词
髋关节疾病
关节成形术
置换
髋
Hip joint disease
Arthropasty
replacement
hip
