快速破坏性髋关节病的诊断与治疗

Diagnosis and treatment of rapidly destructive hip disease

目的 报道快速破坏性髋关节病的诊疗经验。方法 总结分析 2例不常见的、原因不明的快速破坏性髋关节病。 2例患者均行人工全髋关节置换术。结果 2例患者年龄均在 6 0岁以上 ,表现为疼痛髋关节的股骨头及髋臼在 6～ 7个月内出现快速而严重的破坏。临床、实验室、病理学检查均未能找到确切病因。术后患者疼痛均消除 ,髋关节功能恢复正常。随访 4个月 ,Harris评分分别由术前的 2 8分和 34分增加至术后的 91分和 96分。结论 骨科医生应对快速破坏性髋关节病有所认识 ;

Objective To investigate diagnosis and treatment of rapidly destructive hip disease. Methods 2 cases of unusual, poorly recongnized rapidly destructive hip disease were treated and analysed. Total hip arthroplasty were performed on both of the 2 cases. Results Both of the cases were more than 60 years old. The femoral head and the acetabulum of the painful hip had undergone a rapidly severe destruction within 6～7 months. No evidences of sepsis, neurologic disease or tumor were found by clinical, laboratory or pathological examinations. Pain disappeared and mobility of the joint was recovered after the surgery. The mean follow up was 4 months. Harris score improved from 28 points and 34 points pre operation to 91 points and 96 points post operation. Conclusion Orthopaedic surgeons should be aware of rapidly destructive hip disease, and total hip arthroplasty is an effective treatment.