严重髋关节屈曲强直畸形关节置换

Total hip replacement for ankylosed hip joint with severely flexinal abnormality

[目的]探讨严重髋关节屈曲强直畸形行全髋关节置换术的方法和疗效。[方法]对36例严重髋关节屈曲强直畸形患者行全髋关节置换术的临床疗效及手术相关问题进行分析。[结果]随访6～44个月（平均22个月）。36例41个髋关节活动度术前为0°，术后总的活动度平均210．5°，屈髋平均103°；Harris评分术前平均14．2分，术后平均84．4分。术后髋痛消失，膝痛、下腰痛明显改善，步态基本恢复正常，生活基本能自理。[结论]对于严重髋关节屈曲强直畸形，全髋关节置换术能有效消除疼痛，迅速改善关节功能，但须掌握手术的适应证、方法和术后功能锻炼。

[ Objective] To study the means and curative effect of the total hip replacement for ankylosed hip joint with severely flexinal abnormality. [Method] Retrospective analysis of the operative effect and related problems of the total hip replacement for ankylosed hip joint with severely flexinal abnormality. [Result] Through follow up for 6 to 44 months （22 months averaged） , the average range of motion of hip joint and of flexion was 220. 5° and 103°, respectively. The postoperative Harrris Score was 84. 4 versus the preoperative Harrris Score of 14. 2. The pain of the hip was disappeared almost completely and pain of lower waist and knee was relieved obviously. Patient got their gait right and could care themselves approximately. [ Conclusion] The total hip replacement can eliminate the pain of the joint effectively and meliorate the function of the joint rapidly for ankylosed hip joint with severely flexinal abnormality, but surgeons must grasp the indication and technique of the operation and postoperative functional exercise.