人工股骨头及全髋关节置换术治疗晚期股骨头缺血性坏死43例分析

FEMORAL HEAD REPLACEMENT AND TOTAL HIP ARTHROPLASTY FOR TREATMENT OF ISCHEMIC NECROSIS OF FEMORAL HEAD

对43例晚期股骨头缺血性坏死患者施行人工股骨头及全髋关节置换术共45髋。术后随访时间13—90个月,平均37个月。结果显示24髋人工股骨头置换术的优良率为70%;其中Austin—Moore 型为68%,Bateman 双极型为75%。21髋全髋关节置换术的优良率为85.7%;其中采用骨水泥固定的钛合金柄者为90%,而未用骨水泥固定的钴铬钼合金珍珠面柄者为81.8%。并对各类型髋关节置换术的指征、并发症及近、远疗效等进行了分析及讨论。

45 hips of 43 Pasieets with advanced ischemic necrosis of thefemoral head were treated with femoral head re(?)lacement and total hip art-hroplasty.The follow-up period ranged from 24 to 90 months(with an aver-age of 37 months).The results showed that the excellent and good rate was70%(Austinmoore type 68% and Bateman bipolar type 75%)in 24 hips offemoral head replacement and 85.7%(cemented 90% and noneemented 81.8%)in 21 hips of total hip arthroplasty.The indications,complicailons andshort-term as well as long-term Results of the hip arthroplasty werediscussed in the article.