摘要
作为全髋关节置换术(total hip arthroplasty,THA)的一重项要指标,偏心距的重建及重建程度对疾病预后、患者生活质量的提高起着至关重要的作用。股骨偏心距的重建与股骨距长度保留、假体头颈长度、颈干角大小、下肢是否等长密切相关。重建策略包括术前细致规范的模板测量,股骨距预测及长度保留,术中选用近似解剖颈干角的假体,假体头颈的长度调整等。本文就偏心距的重建策略思想及偏心距对髋关节功能、假体磨损、术后疼痛、跛行、双下肢不等长等并发症的影响及相关研究进展做一综述。
As an important indicator of total hip arthroplasty（THA）,the rate and degree of offset reconstruction play an important role in improving the prognosis and life quality of patients. The reconstruction of femoral offset is closely related to reserved length of calcar femorale,the head and neck length of prosthesis,angle degree of neck shaft and whether lower limb is isometric. Reconstruction strategy includes making a meticulous and standard measurement before the surgery,predicting the reserved length of calcar femorale,selecting a prosthesis with approximate anatomical neck shaft angle and reconstructing offset by adjusting the head and neck length of the prosthetic during the operation. The aim of this article was to introduce the research progress and influence of offset on hip function,prosthetic wear and postoperative complications such as pain,limp and unequal leg length,and to discuss the reconstruction strategy.
出处
《中国骨伤》
CAS
2016年第2期192-196,共5页
China Journal of Orthopaedics and Traumatology
基金
浙江省丽水市科技局科技项目(编号:20120322)~~
关键词
关节成形术
置换
髋
手术后并发症
综述文献
Arthroplasty
replacement
hip
Postoperative complications
Review literature
