人工全髋关节置换术治疗髋臼骨折术后继发创伤性关节炎的效果

Effect of Total Hip Arthroplasty on Secondary Traumatic Arthritis after Acetabular Fracture

对人工全髋关节置换术应用在髋臼骨折术后继发创伤性关节炎治疗中的效果进行探究。方法:本次研究对象均为我院2014年1月-2020年12月接受髋臼骨折术治疗后继发创伤性关节炎的患者20例,按照奇偶数分为对照组(保守治疗,10例)和观察组(人工全髋关节置换术治疗,10例)。对比2组治疗优良率,髋关节恢复情况和术后并发症发生情况。结果:在治疗优良率上,观察组为100.00%,高于对照组的60.00%;在并发症发生率上,观察组为20.00%,比对照组的70.00%低;在髋关节恢复情况上,观察组优于对照组,差异较大(P<0.05);治疗后,观察组生活质量高于对照组,差异较大(P<0.05);观察组视觉模拟评分低于对照组,差异较大(P<0.05);观察组WOMAC评分低于对照组,差异较大(P<0.05);观察组LKSS评分高于对照组,差异较大(P<0.05)。结论:髋臼骨折术后继发创伤性关节炎患者采用人工全髋关节置换术治疗,术后髋关节恢复良好,治疗效果显著,不良事件较少,大大降低了致残率,具有较高的推广价值。

Objective:To explore the effect of total hip arthroplasty in the treatment of secondary traumatic arthri-tis after acetabular fracture.Methods:The subjects of this study were all patients with secondary traumatic arthritis after receiving acetabular fracture treatment in our hospital.A total of 20 cases were divided into the reference group(10 cases,conservative treatment)and the experimental group(10 cases)according to odd and even numbers.,to-tal hip arthroplasty treatment),the study subjects were from January 2014 to June 2022.The excellent and good rates of treatment,hip joint recovery and postoperative complications were compared between the two groups.Results:In terms of excellent and good rate of treatment,the experimental group(100.00%)was higher than the reference group(60.00%);in the incidence of complications,the experimental group(20.00%)was lower than the refer-ence group(70.00%);in terms of hip joint recovery,the experimental group was beter than the reference group,the difference was larger(P<0.05).After treatment,the quality of life of the experimental group was higher than that of the reference group,and the dfference was large(P<0.05).The visual analog score of the experimental group was lower than that of the reference group,and the difference was large(P<0.05).The WOMAC score of the experimental group was lower than that of the reference group,and the difference was large(P<0.05).The LKSS score of the experimental group was higher than that of the reference group,and the difference was larger(P<0.05).Conclusion:Patients with secondary traumatic arthritis after acetabular fracture are treated with artificial total hip arthroplasty.The hip joint recovers well after operation,the treatment effect is remarkable,the adverse events are less,the disability rate is greatly reduced,and it has a high Promote value.