骨牵引在成人DDH全髋关节置换术中预防坐骨神经麻痹的应用

Application of Bone Traction in Adult DDH to Prevent Sciatic Nerve Palsy in Total Hip Replacement

目的:研究成人先天性髋关节发育不良(development dislocation of the hip,DDH)全髋关节置换术中采用骨牵引对坐骨神经麻痹的预防作用。方法:选取笔者所在医院2011年10月~2015年10月收治的28例成人DDH患者(共37髋),所有病例均接受全髋关节置换术,手术前给予骨牵引,评估手术后髋关节功能及坐骨神经损伤情况。结果:28例患者的平均随访时间为(1 8.6±5.4)个月,术后平均Harris评分为(82.6±6.3)分,37髋髋关节功能优良率为72.9%,与术前髋关节功能比较差异具有统计学意义(P<0.05)。结论:成人DDH行全髋关节置换术术前给予骨牵引对改善髋关节功能具有良好作用,并且能够有效抑制术后坐骨神经损伤的发生,具有确切临床应用价值。

Objective：To study adult congenital hip dysplasia（development dislocation of the hip,DDH） in total hip arthroplasty with bone traction preventive effect on sciatic nerve palsy.Methods：28 cases of adult DDH patients in the author＇s hospital from October 2011 to October 2015 were（37 hips） sellected,all the patients underwent total hip replacement surgery,before giving bone traction function and sciatic nerve injury after operation of hip joint assessment.Results：28 patients were followed up for an average of（18.6 ±5.4） months,the mean postoperative Harris hip score was（82.6 ±6.3） points,37 excellent rate of hip function was 72.9%,and the preoperative hip function was statistically significant（P〈0.05）.Conclusion：Adult DDH underwent total hip replacement surgery preoperative bone traction has good effect for improving the hip joint function,and can effectively inhibit the occurrence of sciatic nerve injury after operation,has certain clinical application value.