摘要
目的探讨人工髋关节置换术后翻修的原因、假体选择和临床疗效。方法回顾性分析收治的45例(45髋)人工髋关节置换初次翻修患者的临床资料。术前和术后随访均采用Harris评分评估髋关节功能。术前Harris评分平均(47.0±14.5)分。结果 42例患者术后随访时间为20～60个月,41例患者疼痛消失,关节功能恢复良好,1例患者因翻修术后发生感染,给予清创灌洗及抗生素抗感染治疗后得到控制。末次随访Harris评分提高至平均(86.0±9.8)分,术前与术后Harris评分比较差异有统计学意义(t=4.52,P=0.0046)。结论无菌性假体松动是人工髋关节置换术后翻修最常见的原因,手术困难是骨缺损,术中应根据骨缺损的情况选择不同的假体类型,以保证翻修手术的良好效果。
Objective To investigate the revision cause, prosthesis choice and clinical effect of revision of total hip arthro- plasty. Methods The clinical material of 45 patients（45 hips） was investigated. All cases were evaluated according to Harris hip score. The Preoperative Score averaged to（47.0 ± 14.5）. Results 42 cases were followed up for 20 to 60 months. The pain of 41 patients disappeared, joint function recovered well, 1 patient got infection after revision, giving debridement and anti-infection treatment, the infection got control. At the last follow-up, the postoperative Score averaged to （86.0 ± 9.8 ）. Preoperative and post- operative Harris score had statistical difference （ t = 4.52, P = 0.0046）. Conclusion The most common cause of revision was a- septic loosening of the prosthesis ; the operation difficulty is bone defect, different hip prosthesis type should be chosen according to the type of bone defect in order to ensure the good effect of revision.
出处
《中华全科医学》
2013年第6期861-862,977,共3页
Chinese Journal of General Practice
关键词
髋关节
置换
翻修
髋假体
Hip joint
Replacement
Revision
Hip prosthesis
