成人髋关节发育性不良行全髋关节置换术治疗 临床效果观察

Clinical Effect of Total Hip Arthroplasty for Developmental Dysplasia of the Hip in Adults

目的：探讨成人髋关节发育性不良行全髋关节置换术治疗临床效果观察.方法：选取我院2016年1月～2017年8月收治的50例成人髋关节发育性不良患者为研究对象,所有患者经全髋关节置换术,观察术后成功率及治疗前后髋关节评分情况,评估其治疗效果.结果：50例患者中总治愈率为96.0％,患肢长度平均延长2.35cm,1例出现假体周围感染,综合满意度为98.0％,P〈0.05,有统计学意义.结论：对成人髋关节发育性不良行全髋关节置换术治疗显著,应严格遵守手术标准满足真臼处重建髋臼、保护神经血管、髋外展肌力平衡等核心问题,能够恢复患者下肢长度,改善髋关节功能,具有十分积极的临床研究价值,更多问题有待临床上作进一步探索.

Objective： To investigate the clinical effect of total hip arthroplasty for adult dysplasia of the hip. Methods： 50 adult pa- tients with developmental dysplasia of the hip admitted to our hospital from January 2016 to August ~ 2017 were selected as the research subjects. All patients underwent total hip arthroplasty. The success rate and hip score before and after treatment were observed, and the therapeutic effect was evaluated. Results： The total cure rate of the 50 patients was 96%, the length of the affected limbs was prolonged by 2.35cm, and 1 eases had periprosthetic infection. The overall satisfaction rate was 98%, P 〈 0. 05, which was statistically signifi- cant. Conclusion： The conclusion of adult hip dysplasia adverse total hip arthroplasty treatment significantly, should strictly abide by the operation standards to meet the true acetabular location reconstruction and neurevascular protection, hip abductor balance and other core issues, can be restored in patients with lower limb length, improve hip function, has the value of clinical research is very active, more clinical problems on the further exploration.