摘要
目的:探讨无柄人工髋关节置换术的近期治疗效果。方法:选择无柄人工髋关节全髋置换术患者11例。手术取患髋前外侧切口显露髋关节,使股骨头脱位,清除关节内病变组织,用中心定位器定位打入中心针,用塑骨器塑骨,安装罩体,用中心钉和大、小粗隆松质骨螺钉固定。以有柄人工髋关节置换术同样方法安装髋臼假体。结果:本组平均随访(7.50±1.26)个月。按Har-ris关节功能评价标准评估,优5例,良4例,可2例,差无。对患者术前和随访时的Harris评分进行t检验,P<0.05,有统计学意义。结论:无柄人工髋关节置换术后患者髋关节疼痛消失,功能、畸形、活动范围明显改善,近期疗效满意。
Objective:To evaluate the current effect of the stemLess total hip replacement for orthopedic patients.Methods:11 cases were selected for conduction of stemLess total hip replacement.The procedure was in following steps: the hip joint was exposed by exterior incision to dislocate the femoral head,and needle location into the center with locator after the sick tissues were cleared away;plastic bone was shaped.Setting the cup and fixed,then the acetabulum prosthesis was mounted in the same way with the traditional total hip replacement surgery.Results:After average(7.50±1.26) months of follow up,the subjects' joint function were evaluated on the basis of Harris Score criteria,excellent in 5 cases,good in 4,fair in 2,poor in 0.T test of Harris Score had a statistical significance(P〈0.05) between pre-procedure and in-following up.Conclusions:After the stemLess total hip replacement was performed,patients' hip joints pain was disappeared,and the function,deformity and range of motion improve obviously,curative effect satisfaction.
出处
《青海医药杂志》
2010年第5期4-7,共4页
Qinghai Medical Journal
关键词
无柄
人工髋关节
关节置换术
Acetabulum prosthesis
StemLess total hip replacement
Surgery