人工全髖關節置換治療髖臼內陷癥的早期療效_《中國修復重建外科雜志》

作者：

陳志偉 , 袁杰 , 曹盛俊 , 廖瑛

南華大學第一附屬醫院骨科（湖南衡陽，421001）;

關鍵詞：

髖臼內陷癥人工全髖關節置換髖臼重建

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【摘要】目的 探討人工全髖關節置換治療髖臼內陷癥的方法及早期療效。方法 2006年1月－2010年2月，
收治髖臼內陷癥16例16髖。男6例，女10例；年齡39～72歲，平均56.5歲。病程1年6個月～35年，中位病程6.4年。左髖7例，右髖9例。原發性3例，繼發性13例。髖關節Harris評分為（49.5 ± 5.5）分。髖臼內陷按Dunlop等的診斷標準分度：輕度3例，中度9例，重度4例。患者均行人工全髖關節置換，髖臼重建時采用植骨及非骨水泥型髖臼假體恢復患髖股骨偏心距及髖臼旋轉中心。結果術后16例切口均Ⅰ期愈合，無感染及下肢深靜脈血栓形成等并發癥發生。患者均獲隨訪，隨訪時間12～62個月，平均37個月。末次隨訪時，髖關節Harris評分為（90.5 ± 4.5）分，與術前比較差異有統計學意義（t=49.578，P=0.000）。X線片顯示假體位置良好，無松動、下沉，植骨與髖臼融合，無髖臼再次內陷。結論人工全髖關節置換治療髖臼內陷時，采用植骨及非骨水泥型髖臼假體恢復患髖股骨偏心距及髖臼旋轉中心，可獲滿意早期療效。

引用本文： 陳志偉,袁杰,曹盛俊,廖瑛. 人工全髖關節置換治療髖臼內陷癥的早期療效. 中國修復重建外科雜志, 2012, 26(3): 292-295. doi: 復制

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2.	Lundby R, Kirkhus E, Hald J, et al. CT of the hips in the investigation of protrusio acetabuli in Marfan syndrome. A case control study. Eur Radiol, 2011, 21(7): 1485-1491.
3.	Dunlop CC, Jones CW, Maffulli N. Protrusio Acetabuli. Bull Hosp Jt Dis, 2005, 62(3-4): 105-114.
4.	Ries MD. Total hip arthroplasty in acetabular protrusio. Orthopedics, 2009, 32(9): 666-668.
5.	Vann MA, Onyike A, Gentry SW, et al. Atraumatic acetabular fracture in secondary protrusio acetabuli: a case report. J Surq Orthop Adv, 2007, 16(2): 93-97.
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9.	Canale ST, Besty JH. 坎貝爾骨科手術學. 王巖, 唐佩福, 裴國獻, 譯. 11版. 北京: 人民軍醫出版社, 2009: 843-844.
10.	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 Arthroplasty, 2007, 22(8): 1143-1149.
11.	Bayley JC, Christie MJ, Ewald FC, et al. Long-term results of total hip arthroplasty in protrusion acetabuli. J Arthroplasty, 1987, 2(4): 275-279.
12.	Leunig M, Nho SJ, Turchetto L, et al. Protrusio acetabuli: new insights and experience with joint preservation. Clin Orthop Relat Res, 2009, 467(9): 2241-2250.
13.	Figueras Coll G, Salazar Fernandez de Erenchu J, Rocr Burnoil J. Results of acetabular wiremesh and autograft in protrusio acetabuli. Hip Int, 2008, 18(1): 23-28.
14.	馬金忠, 朱力波, 桑偉林. 全髖關節置換術治療髖臼內陷癥. 中國矯形外科雜志, 2008, 16(15): 1136-1137, 1149.
15.	Malchau H, Herberts P, Ahnfelt L. Prognosis of total hip replacement in Sweden. Follow-up of 92,675 operations performed 1978-1990. Acta Orthop Scand, 1993, 64(5): 497-506.
16.	de Kam DC, Gardeniers JW, Hendriks JC, et al. Cemented polyethylene cups in patients younger than 40 years. Clin Orthop Relat Res, 2009, 467(7): 1753-1764.
17.	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 Arthroplasty, 2007, 22(8): 1143-1149.
18.	Lakemeier S, Aurand G, Timmesfeld N, et al. Results of the cementless Plasmacup in revision total hip arthroplasty: a retrospective study of 72 cases with an average follow-up of eight years. BMC Musculoskeletal Disord, 2010, 11: 101.

1. Van De Velde S, Fillman R, Yandow S. The aetiology of protrusio acetabuli. Literature review from 1824 to 2006. Acta Orthop Belq, 2006, 72(5): 524-529.
2. Lundby R, Kirkhus E, Hald J, et al. CT of the hips in the investigation of protrusio acetabuli in Marfan syndrome. A case control study. Eur Radiol, 2011, 21(7): 1485-1491.
3. Dunlop CC, Jones CW, Maffulli N. Protrusio Acetabuli. Bull Hosp Jt Dis, 2005, 62(3-4): 105-114.
4. Ries MD. Total hip arthroplasty in acetabular protrusio. Orthopedics, 2009, 32(9): 666-668.
5. Vann MA, Onyike A, Gentry SW, et al. Atraumatic acetabular fracture in secondary protrusio acetabuli: a case report. J Surq Orthop Adv, 2007, 16(2): 93-97.
6. Sathappan SS, Strauss EJ, Ginat D, et al. Surgical challenges in complex primary total hip arthroplasty. Am J Orthop (Belle Mead NJ), 2007, 36(10): 534-541.
7. 童培健, 王興中, 肖魯偉. 人工全髖關節置換術中偏心距重建對髖關節功能的影響. 中華骨科雜志, 2007, 27 (11): 820-822.
8. 毛遠青, 孫月華, 王友, 等. 髖臼內陷癥的全髖關節置換術. 中華骨科雜志, 2011, 31(2): 143-148.
9. Canale ST, Besty JH. 坎貝爾骨科手術學. 王巖, 唐佩福, 裴國獻, 譯. 11版. 北京: 人民軍醫出版社, 2009: 843-844.
10. 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 Arthroplasty, 2007, 22(8): 1143-1149.
11. Bayley JC, Christie MJ, Ewald FC, et al. Long-term results of total hip arthroplasty in protrusion acetabuli. J Arthroplasty, 1987, 2(4): 275-279.
12. Leunig M, Nho SJ, Turchetto L, et al. Protrusio acetabuli: new insights and experience with joint preservation. Clin Orthop Relat Res, 2009, 467(9): 2241-2250.
13. Figueras Coll G, Salazar Fernandez de Erenchu J, Rocr Burnoil J. Results of acetabular wiremesh and autograft in protrusio acetabuli. Hip Int, 2008, 18(1): 23-28.
14. 馬金忠, 朱力波, 桑偉林. 全髖關節置換術治療髖臼內陷癥. 中國矯形外科雜志, 2008, 16(15): 1136-1137, 1149.
15. Malchau H, Herberts P, Ahnfelt L. Prognosis of total hip replacement in Sweden. Follow-up of 92,675 operations performed 1978-1990. Acta Orthop Scand, 1993, 64(5): 497-506.
16. de Kam DC, Gardeniers JW, Hendriks JC, et al. Cemented polyethylene cups in patients younger than 40 years. Clin Orthop Relat Res, 2009, 467(7): 1753-1764.
17. 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 Arthroplasty, 2007, 22(8): 1143-1149.
18. Lakemeier S, Aurand G, Timmesfeld N, et al. Results of the cementless Plasmacup in revision total hip arthroplasty: a retrospective study of 72 cases with an average follow-up of eight years. BMC Musculoskeletal Disord, 2010, 11: 101.

《中國修復重建外科雜志》

人工全髖關節置換治療髖臼內陷癥的早期療效

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《中國修復重建外科雜志》

人工全髖關節置換治療髖臼內陷癥的早期療效

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