生物型假體治療髖臼內陷癥的近期療效觀察_《華西醫學》

作者：

俞陽 , 范海泉 , 陳銘 , 黃宏杰

成都市416醫院脊柱骨科（成都，610051）;

關鍵詞：

髖臼內陷全髖關節置換生物型假體

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目的　探討使用生物型非骨水泥假體治療髖臼內陷癥的近期療效。方法　 2007年6月－2010年5月，對11例12髖髖臼內陷患者行生物型假體全髖關節置換術。男2例，女9例；年齡38～57歲，平均47.3歲。其中繼發于類風濕性關節炎7例，創傷4例；病程1～18年，平均8.9年；輕度髖臼內陷6髖，中度髖臼內陷6髖。采用Harris評分標準進行臨床療效評估，攝X線片進行影像學評估。結果　術后第2天X線片示，人工股骨頭距Kohler’s線外移（1.42 ± 2.27）mm，較術前股骨頭內陷（?5.17 ± 2.04）mm明顯改善（P＜0.05）。術后1周，患者Harris評分為（85.75 ± 4.73）分，較術前（39.75 ± 5.24）分顯著提高（P＜0.05）。術后1年X線片示髖臼假體與髖臼內側壁無透亮線，已骨融合。術后患者獲隨訪2～5年。髖臼假體均無松動移位、脫位或移植骨的吸收。結論　使用生物型非骨水泥假體結合自體骨移植治療髖臼內陷癥，能有效恢復髖臼運動中心的解剖位置，近期臨床療效滿意。

引用本文： 俞陽,范海泉,陳銘,黃宏杰. 生物型假體治療髖臼內陷癥的近期療效觀察. 華西醫學, 2012, 27(8): 1150-1152. doi: 復制

1.	Sotelo-Garza A, Charnley J. The results of Charnley arthroplasty of hip performed for protrusio acetabuli [J]. Clin Orthop Relat Res, 1978, (132): 12-18.
2.	Harris WH.Traumatic arthritis of the hip after dislocation and acetabular fractures：treatment by mold arthroplasty. An end-result study using a new method of result evaluation[J]. J Bone Joint Surg Am, 1969, 51(4): 737-755.
3.	Dunlop CC, Jones CW, Maffulli N. Protrusio acetabuli[J]. Bull Hosp Jt Dis, 2005, 62(3-4): 105-114.
4.	Garcia-Cimbrelo E, Diaz-Martin A, Madero R, et al. Loosening of the cup after low-friction arthroplasty in patients with acetabular protrusion. The importance of the position of the cup [J]. J Bone Joint Surg Br, 2000, 82(1): 108-115.
5.	Welten ML, Schreurs BW, Buma P, et al. Acetabular reconstruction with impacted morcellized cancellous bone autograft and cemented primary total hip arthroplasty: a 10- to 17-year follow-up study [J]. J Arthroplasty, 2000, 15(7): 819-824.
6.	Mullaji AB, Marawar SV.Primary total hip arthroplasty in protrusio acetabuli using impacted morsellized bone grafting and cementless cups: a medium-term radiographic review[J]. J Arthroplasty, 2007, 22(8): 1143-1149.
7.	馬金忠, 朱力波, 桑偉林.全髖關節置換術治療髖臼內陷癥[J].中國矯形外科雜志, 2008, 16(15): 1136-1137.
8.	Bourne RB, Corten K.Cemented versus cementless stems: a verdict is in[J]. Orthopedics, 2010, 33(9): 638.
9.	D′ Antonio JA, Capello WN, Borden LS, et al. Classification and management of acetabular abnormalities in total hip arthroplasty[J]. Clin Orthop Relat Res, 1989, (243): 126-137.
10.	仉建國, 翁習生, 邱貴興.人工髖關節翻修術中對髖臼骨缺損的處理[J]. 中華骨科雜志, 2000, 20(4): 252-253.
11.	Garbuz D, Morsi E, Mohamed N, et al. Classification and reconstruction in revision acetabular arthroplasty with bone stock deficiency[J]. Clin Orthop Relat Res, 1996, (324): 98-107.
12.	Clark CR, Huddleston HD, Schoch EP 3rd et al. Leg-length discrepancy after total hip arthroplasty[J]. J Am Acad orthop Surg, 2006, 14(1): 38-45.
13.	Terry MA, Winell JJ, Green DW, et al. Measurement variance in limb length discrepancy: clinical and radiographic assessment of interobserver and intraobserver variability[J]. J Pediatr Orthop, 2005, 25(2): 197-201.

1. 　Sotelo-Garza A, Charnley J. The results of Charnley arthroplasty of hip performed for protrusio acetabuli [J]. Clin Orthop Relat Res, 1978, (132): 12-18.
2. 　Harris WH.Traumatic arthritis of the hip after dislocation and acetabular fractures：treatment by mold arthroplasty. An end-result study using a new method of result evaluation[J]. J Bone Joint Surg Am, 1969, 51(4): 737-755.
3. 　Dunlop CC, Jones CW, Maffulli N. Protrusio acetabuli[J]. Bull Hosp Jt Dis, 2005, 62(3-4): 105-114.
4. 　Garcia-Cimbrelo E, Diaz-Martin A, Madero R, et al. Loosening of the cup after low-friction arthroplasty in patients with acetabular protrusion. The importance of the position of the cup [J]. J Bone Joint Surg Br, 2000, 82(1): 108-115.
5. 　Welten ML, Schreurs BW, Buma P, et al. Acetabular reconstruction with impacted morcellized cancellous bone autograft and cemented primary total hip arthroplasty: a 10- to 17-year follow-up study [J]. J Arthroplasty, 2000, 15(7): 819-824.
6. 　Mullaji AB, Marawar SV.Primary total hip arthroplasty in protrusio acetabuli using impacted morsellized bone grafting and cementless cups: a medium-term radiographic review[J]. J Arthroplasty, 2007, 22(8): 1143-1149.
7. 　馬金忠, 朱力波, 桑偉林.全髖關節置換術治療髖臼內陷癥[J].中國矯形外科雜志, 2008, 16(15): 1136-1137.
8. 　Bourne RB, Corten K.Cemented versus cementless stems: a verdict is in[J]. Orthopedics, 2010, 33(9): 638.
9. 　D′ Antonio JA, Capello WN, Borden LS, et al. Classification and management of acetabular abnormalities in total hip arthroplasty[J]. Clin Orthop Relat Res, 1989, (243): 126-137.
10. 　仉建國, 翁習生, 邱貴興.人工髖關節翻修術中對髖臼骨缺損的處理[J]. 中華骨科雜志, 2000, 20(4): 252-253.
11. 　Garbuz D, Morsi E, Mohamed N, et al. Classification and reconstruction in revision acetabular arthroplasty with bone stock deficiency[J]. Clin Orthop Relat Res, 1996, (324): 98-107.
12. 　Clark CR, Huddleston HD, Schoch EP 3rd et al. Leg-length discrepancy after total hip arthroplasty[J]. J Am Acad orthop Surg, 2006, 14(1): 38-45.
13. 　Terry MA, Winell JJ, Green DW, et al. Measurement variance in limb length discrepancy: clinical and radiographic assessment of interobserver and intraobserver variability[J]. J Pediatr Orthop, 2005, 25(2): 197-201.

《華西醫學》

生物型假體治療髖臼內陷癥的近期療效觀察

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《華西醫學》

生物型假體治療髖臼內陷癥的近期療效觀察

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料