摘要
目的：探讨初次全髋关节置换术（THA）中髋臼重建方法的选择。方法：回顾性分析2001年至2006年间32例初次THA的患者（CroweⅢ、Ⅳ型先天性髋关节脱位15例，髋关节感染后融合6例，陈旧性髋臼骨折11例），其中内移髋关节旋转中心6例，结构性植骨11例，颗粒松质骨打压植骨15例；有4例应用钛网，4例重建钢板，3例加强杯固定。术后进行临床评估及X线评估。结果：术后平均随访41（8～72）个月，Harris评分平均为84分；3例臼杯松动需要进行翻修手术。结论：将髋臼重建在真臼位置，并进行软组织松解及下肢长度的平衡处理，通过不同的重建方法可以获得良好的髋关节功能。
Objective： To discuss the methods of acetabular reconstruction in primary total hip arthroplasty （THA）. Methods： Thirty-two patients received THA between 2001 and 2006, including 15 cases of Growe Type-Ⅲ and -Ⅳ congenital hip dislocation, 6 cases of post-infection hip ankylosis and 11 cases of delayed acetabular fracture, with the methods used as follows： inside movement of the rotating center in 6 cases, structural autograft in 11 and impaction bone grafting with morselised bone in 15. The grafting was fixed by Ti-alloy mesh in 4 cases, reconstructed plate in 4 and acetabular reinforcement device in 3. Clinical and radiological evaluations were conducted for each patient. Results： The average follow-up was 41 months, the mean Harris score was 84 in 36 cases, and 3 cases necessitated revision surgery because of cup loose. Conclusion： The acetabular rotating center should be reconstructed in the true place with soft tissue release and leg-length balance. Satisfactory hip function could be achieved through different reconstruction methods.
出处
《医学研究生学报》
CAS
2008年第8期828-830,835,I0002,共5页
Journal of Medical Postgraduates
基金
全军"十一五"重点攻关课题基金资助项目(批准号:06G043)
关键词
全髋关节置换
髋臼骨缺损
植骨
重建
Total hip arthroplasty
Acetabular bone deficiency
Autograft
Reconstruction
