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发育性髋关节发育不良成人期人工关节置换

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摘要 发育性髋关节发育不良(developmental dysplasia of the hip,DDH))是包括股骨头脱位、半脱位及髋臼发育不良等在内的疾病,其发病率在国内外报道各不一致.儿童期筛查不严、治疗方法不佳,甚至未经治疗,导致很大一部分患者在成人期出现严重的髋关节发育不良甚至脱位,同时多数可继发严重的骨关节炎.保守治疗和其他矫形手术往往难以奏效,人工全髋关节置换(total hip replaecmnet,THR)成为其重要的治疗选择之一.但由于存在髋关节活动中心移位、真臼浅小、肢体不等长、外展肌力不足、股骨近端髓腔狭窄、血管神经解剖异常及软组织挛缩等问题,手术难度较大,其与一般的THR有很大区别亦有很高难度,手术方法也存在很多争议.
出处 《按摩与康复医学》 2012年第12期199-199,共1页 Chinese Manipulation and Rehabilitation Medicine
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