全髋关节置换16例临床分析

Clinical Analysis of Sixteen Cases with Total Hip Arthroplasty

作者报告全髋关节置换16例。结果优良级和很好级病例占75%。作者认为:(1)髋关节直接外侧切口具有创伤小、暴露清楚、操作方便、无坐骨神经损伤及不易产生髋关节脱位等优点。(2)术中应注意骨盆位置,否则易造成髋臼假体安装位置不当。(3)在一般情况下,应首先考虑使用多孔面人工关节,尽量不使用骨水泥。除非在某些特殊情况下才考虑使用骨水泥。

Sixteen cases with total hip arthroplasty were reported.Excellent and good results were seen in 75% of the cases.The authors noted that:(1)advantages in direct lateral approach to the hip include lesser trauma,adequate exposure,simple performance,no damage of the sciatic nerve,lower incidence of post-operative dislocation and so on;(2)the operators should pay atten- tion to pelvic position in operation,otherwise it is easy to install the acetabular component in inade- quate position;(3)generally the first choice is to use the PCA prosthesis without bone cement,ex- cept for some special circumstances.