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全髋置换术中髋臼骨缺损的处理 被引量:2

Treatment of acetabular bone defect in total hip arthroplasty
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摘要 目的 报道全髋置换术中髋臼骨缺损的处理方法。方法  1995年 6月~ 2 0 0 1年 6月分别用大块结构植骨、颗粒骨植骨、颗粒骨植骨 +cage或使用特殊髋臼处理 78例全髋置换术中髋臼骨缺损。 结果 平均随访 31.6个月 ,无论结构植骨还是颗粒植骨都能与受体骨愈合 ,除翻修和髋臼骨折骨缺损各 1例外 ,均未发现髋臼松动移位现象。平均Harris评分从术前 4 4分提高到术后 88分。结论 髋臼发育不良的骨缺损行结构性植骨 ,具有稳定髋臼、传递负荷的作用 ;全髋翻修时行颗粒骨植骨填补骨缺损 ,具有恢复旋转中心的作用。 Objective To report the result of treatment of acetabular bone defect in total hip arthroplasty. Methods From June 1995 to June 2001, structural bone grafting, morselized bone grafting, morselized bone grafting + cage or special acetabular prosthesis were used to repair the acetabular bone defect in 78 cases of total hip arthroplasty. Results A mean follow-up of 31.6 months revealed that the grafted bones, no matter structural or morselized, well united with the host bones without loosening of acetabular prosthesis,except 1 case each in revision and acetabular fracture with bone defect, respectively. The average Harris score was improved from 44 points preoperatively to 88 points postoperatively . Conclusion Structural bone graftng can stabilize the acetabular prosthesis and transfer loading in hip dysplasia patients. Morselized bone grafting in revision surgery can fill up the bone defects and restore the rotating center of the hip.
出处 《上海医学》 CAS CSCD 北大核心 2002年第z1期20-22,共3页 Shanghai Medical Journal
关键词 全髋关节置换术 髋臼 骨缺损 Total hip arthroplasty Acetabulum Bone defect
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参考文献6

  • 1[2]Bobak P, Wroblewski BM, Siney PD, et al. Chanley low-friction arthroplasty with an autograft of the femoral head for developmental dysplasia of the hip. The 10 to 15 year results. J Bone Joint Surg Br, 2000, 82: 508-511.
  • 2[3]Spangehl M J, Berry DJ, Trousdale RT, et al . Uncemented acetabular components with bulk femoral head autograft for acetabular reconstuction in developmental dysplasia of the hip: results at five to twelve years. J Bone Joint Surg Am, 2001, 83: 1484-1489.
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同被引文献8

  • 1胥少汀 葛宝丰 徐印坎.实用骨科学.第2版[M].北京:人民军医出版社,2001.405.
  • 2Bobak P, Wroblewski BM, Siney PD, Fleming PA, Hall R.Chanley low-friction arthroplastywith autograft of the femoral head for developmental dysplasia of the hip, the 10 to 15years results. J Bone Joint Surg(Br), 2000, 82: 508-511.
  • 3Spangehl M J, Berry DJ, Trousdale RT, Cabanela ME. Uncemented acetabular componentswith bulk femoral head autograft for acetabular reconstruction in developmental dysplasiaof the hip: results at five to twelve years. J Bone Joint Surg(Am),2001, 83: 1484-1489.
  • 4Slooff TJ, Buma P, Schreurs BW, Schimmel JW, Huiskes R,Gardeniers J. Acetabular andfemoral reconstruction with impacted graft and cement. Clin Orthop, 1996, (324): 108-115.
  • 5Bobak P, Wroblewski BM, Siney PD, et al. Chanley low-friction arthroplasty with autografi of the femoral head for developmental dysplasia of the hip,The 10 to 15 years results[J]. J Bone Joint Surg Br,2000,82:508 ~ 511.
  • 6Spangehl M J, Berry DJ,Trousdale RT,et al. Uncemented acetabular components with bulk femoral head autograti for acetabular reconstruction in developmental dysplasia of the hip: results at five to twelve years[J]. J Bone Joint Surg Am,2001, 83:1484 ~ 1489.
  • 7李晓华,周维江,吴海山.髋臼缺损时全髋置换非骨水泥髋臼的重建[J].第二军医大学学报,2000,21(7):686-688. 被引量:4
  • 8吴浩波,戴雪松,严世贵.偏心距在全髋关节置换中的重要性[J].国外医学(骨科学分册),2004,25(1):25-27. 被引量:5

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