无柄人工全髋关节置换治疗中青年晚期股骨头缺血性坏死12例疗效分析

Treatment with stemless hip replacement in 12 young and middle-aged patients with avascular necrosis of femoral head

目的探讨无柄人工全髋关节置换治疗中青年晚期股骨头缺血性坏死的疗效。方法对12例中青年晚期股骨头缺血性坏死的患者进行无柄人工全关节置换术治疗。结果术后全部患者均获得随访,根据Harris关节功能评分标准,其中优9例,良2例,可1例,差0例,优良率为91.7%。结论无柄人工全髋关节置换治疗中青年晚期股骨头缺血性坏死具有优势,效果满意。

Objective To discuss the curative effect of stemless hip replacement for young and middle-aged patients with late avascular necrosis of the femoral head.Methods Twelve middle-aged and young patients with late avascular necrosis of the femoral head were treated by stemless hip replacement operation.Results After operation,all the patients were received follow-up.Based on Harris’ s scale on joint function score,the excellent result was seen in 9 patients,good in 2 patients,common in 1 patient,and fail in 0 patient,with total excellent and good rate of 91.7%.Conclusion Stemless hip replacement has advantages in treating mid-late avascular necrosis of femoral head and the effect is satisfied.