髋关节置换术对股骨头坏死患者髋关节Harris评分及运动功能的影响

Effects of Hip Replacement on Harris Scores and Motor Functions of Patients with Femoral Head Osteonecrosis

目的:分析髋关节置换术对股骨头坏死(osteonecrosis of the femoral head,ONFH)患者的髋关节Harris功能评分(Harris hip score,HHS)与简式Fugl-Meyer运动功能评分(Fugl-Meyer assessment scale,FMA)的影响。方法:回顾性选取于我院受诊的ONFH患者87例,按照其所用术式的不同,分为两组,传统组采用传统股骨头置换术治疗,共43例病例;研究组采用无柄解剖型人工髋关节置换术治疗,共44例,比较两组Harris评分、Fugl-Meyer运动功能评分的改变及统计并发症信息。结果:研究组Harris评分无显著差异(P>0.05);治疗后,研究组Harris评分明显高于传统组(P<0.05);研究组简式Fugl-Meyer运动功能显著优于传统组(P<0.05);研究组并发症的发生率低于传统组(P<0.05)。结论:无柄解剖型人工髋关节置换术治疗ONFH的临床疗效显著,能够改善患者髋关节功能及运动功能。

Objective： To analyze the effect of hip replacement on Harris score and simple Fugl-Meyer motor function score （Har- ris hip score, HHS） of patients with osteonecrosis of the femoral head （ONFH）. Methods： 87 patients with ONFI-I were retrospectively studied. According to the different surgical procedures, the patients were divided into the two groups. The traditional group （n=43） was treated with traditional femoral head replacement. The study group （n=44） was treated with sessile anatomy type of total hip arthroplasty. The Harris score, fugl-Meyer motor function scores and complications were compared. Results： The Harris score of the study group were without significant differences （P〉0.05）. After treatment, the Harris score in the study group was significantly higher than that in the tra- ditional group （P〈0.05）. The motor function of Fugl-Meyer was significantly better than that of the traditional group （P〈0.05）. The inci- dence of postoperative complications in the study group was significantly lower than that of the traditional group （P〈0.05）. Conclusion： Sutureless anatomical hip arthroplasty has better clinical effect on the treatment of ONFH, which can improve the hip functions and mo- tor functions of patients.