摘要
假体脱位是全髋关节置换(total hip arthroplasty,THA)术后常见的并发症之一,目前仍然是关节外科医生面临的主要挑战。而在术后假体前脱位发生后,有些医师甚至会错误地判断为后脱位,在闭合复位时牵引及复位方向错误,导致手法复位失败,甚至出现假体周围骨折、假体松动,需要翻修手术的可能。本文从假体前脱位的影像评估、影响因素、正确的术前规划以及术后良好的体位管理方面进行讲述,以期为指导临床医师提高患者THA术后疗效提供参考。
Dislocation of prosthesis is one of the common complications after total hip replacement,and still a major challenge for sur⁃geons.After the anterior dislocation of the prosthesis occurs,some doctors may even misjudge the posterior dislocation.In the closed reduc⁃tion process,the wrong direction of traction and reduction leads to the failure of manual reduction,even the fracture around the prosthesis and loosening of the prosthesis,with possibility of needing revision surgery.This article discusses the imaging evaluation,influencing fac⁃tors,correct preoperative planning and good postural management for anterior dislocation in order to provide references for clinical doctors to improve the curative outcomes of THA.
作者
李传波
王青青
邹阿鹏
周百岁
LI Chuan-bo;WANG Qing-qing;ZOU A-peng;ZHOU Bai-sui(Department of Bone and Joint Surgery,Yantai Affiliated Hospital,Binzhou Medical University,Yantai264100,China;Department of Traumatic Orthopaedics,Yantai Affiliated Hospital,Binzhou Medical University,Yantai264100,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2022年第19期1771-1775,共5页
Orthopedic Journal of China
关键词
全髋关节置换术
前脱位
影响因素
临床评估
处置方法
total hip arthroplasty
anterior dislocation
influencing factors
clinical evaluation
disposal method