无柄人工髋关节置换40例

Clinical application of stemless hip replacement in 40 cases

目的探讨无柄人工髋关节置换术的临床效果。方法对40例患者施行无柄人工髋关节置换,对疗效进行评价分析。结果40例患者疗效满意,随访6～48个月,平均随访24．6个月,平均Harrisi评分90．6分,优28例(70%),良8例(20%),可4例(10%),优良率90%。结论无柄人工髋关节置换术创伤小,出血少,并发症少,易于翻修,疗效满意可靠,较适合高龄体弱及年轻患者。其远期疗效有待进一步观察。

Objective To observe the clinical effect of stemless hip replacement. Methods The stemless hip replacement was performed in 40 cases and the effect evaluated. Results Follow-up for average 24.6 months （6-48 months） showed satisfactory outcomes in all cases after the stemless hip replacement. Based on harris scale （averaging 90.6）, the excellent result was seen in 28 case（70% ）, good in eight （20%） and common in four （ 10% ）, with total excellence rate of 90%. Condusions Stemless hip replacement is characterized by little trauma, less blood loss, less complications and fitting for revision. general effects of this technique are satisfactory. It is especially suitable for the old and weak cases or the young cases who need hip replacement. The long term outcomes need further evaluation.