摘要
目的:探讨全髋置换术假体周围股骨骨折、术后假体脱位、下肢不等长和假体松动四种主要并发症的发生因素及防治措施。方法:回顾性分析2002年5月-2010年5月完成髋关节置换术204例患者的临床资料。结果:均无近期深部感染。术后髋关节功能Harris评分70-90分,平均82.3分。并发症有术中4例股骨骨折,术后早期有3例发生脱位,术后下肢不等长6例,术后远期出现假体松动4例。结论:术中假体周围股骨骨折、术后假体脱位、下肢不等长和假体松动是全髋置换术的主要并发症,术前必须充分评估与模拟、结合个体差异及术中情况选择最优方案,同时做好术后健康教育,避免或减少并发症的发生。
Objective：To investigate the reasons and prevention measures for 4 main complications of total hip arthroplasty： intmopemtive periprosthetic femoral fracture, postoperative prosthetic dislocation, leg length discrepancy and prosthetic loosening.Methods：The clinical data of 204 total hip arthroplasty patients from 2002.5 to 2010.5 were retrospectively analyzed.Results：No recent deep infection in this study. The average score of postoperative Harris hip function was 82.3 （70-90）. The complications included 4 cases femoral fracture, 3 cases early dislocation, 6 cases leg length discrepancy and 4 cases forward prosthetic loosening.Conclusions：Intmoperative periprosthetic femoral frac^re, postoperative prosthetic dislocation, leg length discrepancy and prosthetic loosening are the 4 main complications of total hip arthroplasty. Doctors should choose best operation scheme by fully preoperative evaluation and simulation, combined individual differences, also better health education after operation can avoid or reduce the complications.
出处
《承德医学院学报》
2013年第1期17-19,共3页
Journal of Chengde Medical University
关键词
全髋关节置换术
股骨骨折
术后脱位
下肢不等长
假体松动
Total hip arthroplasty
Femoral fracture
Postoperative dislocation
Leg length discrepancy
Prosthetic loosening
