摘要
目的:探讨成人严重发育性髋关节发育不良(DDH)继发骨性关节炎进行人工全髋关节置换术(THA)的方法及治疗效果。方法:18例DDH继发骨性关节炎患者行THA,术中在软组织松解延长的基础上,重建髋关节旋转中心在真臼位置及髋关节外展功能。术后评估髋关节功能。结果:术后平均随访48个月,髋关节Harris评分平均为85分,双侧肢体长度得到恢复,CE角,Sharp角,髋臼骨对股骨头假体的覆盖率,颈干角,髋关节旋转中心垂直距离,髋关节旋转中心水平距离均较术前得到很好的恢复。结论:通过松解延长、重建关节功能、选择合适的假体,并注重对神经血管的保护,成人DDH继发骨性关节炎可以通过THA获得满意的治疗效果。
Objective： To explore the effect of the total hip arthroplasty on （DDH）. Methods： 18 severe developmental adult hip dysplasia patients were treated with the total hip arthroplasty. Evaluation of postoperative hip function with the Harris score standard. Results： After a mean follow-up of 48 months, the average Harris hip score was 85 points, the bilateral limb length was restored, CE angle, Sharp angle, acetabular coverage of the femoral head prosthesis, neck shaft angle, hip rotation centervertical distance and rotation horizontal distance were recovery. Conclusion： Through the reconstruction of joint function, choose the suitable prosthesis, and pay attention to the protection of the neurovascular, severe developmental adult hip dysplasia patients were get the good therapeutic effect.
出处
《中国伤残医学》
2013年第4期5-7,共3页
Chinese Journal of Trauma and Disability Medicine
