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髋臼重建在成人髋臼发育不良全髋置换中的应用

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摘要 目的:探讨成人髋臼发育不良行全髋置换术中的髋臼重建方法。方法:21例26髋成人髋臼发育不良病例,采用髋臼加深、自体骨植骨造盖、内壁截骨成形等髋臼重建方法以达恢复髋关节旋转中心、平衡负重力线。结果:21例均随访平均2.6年。术后髋关节功能Harris评分72~97分,平均82.8分。术后X线显示臼容关系良好,植骨块融合,无1例术中、术后股骨扩髓时发生假体周围骨折,无1例术后患肢发生深静脉炎及栓塞。结论:采用髋臼加深植骨、自体股骨头松质骨植骨造盖、内壁截骨成形重建髋臼的方法,可以正确的恢复髋关节旋转中心,良好的恢复负重力线,改善病人步态。
出处 《中国社区医师(医学专业)》 2010年第25期58-58,共1页
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