人工全髋置换术中的软组织平衡

Soft Tissue Balance in Total Hip Arthroplasty

目的：探讨软组织平衡技术在疑难人工全髋置换术中的应用。方法：自1997年7月～2005年6月，27例30髋术前有不同程度髋关节周围软组织挛缩的患者，术前仔细评估髋关节周围软组织状况，在行人工全髋置换术中进行有效的软组织平衡.结果：30例患者术后平均随访18个月，Harris评分从术前平均47．5分，上升到术后平均92．3分。结论：软组织平衡在人工全髋置换术中能有效改善功能，提高患者生活质量。

Objective：To explore the role of the soft tissue balance in difficult total hip arthroplasty. Method：From 1997,7- 2005,6, 30 hips of 27 cases with surrounding soft tissue contractures were evaluated preoperatively, and good soft tissue balance techniques were undergone during the total hip arthroplasty. Result： The average follow-up was 18 months, the Harris score was increased from 47.5 to 92.3. Conclusion：Soft tissue balance techniques can improve the affected hip function and increase the patient＇s life quality.