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[1]鮑榮華,陳曉東,王國平,等.Wagner Cone生物型假體置換結合經股骨轉子下橫形截骨 治療CroweⅣ型成人發(fā)育性髖關節(jié)發(fā)育不良[J].中醫(yī)正骨,2015,27(01):33-35.
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Wagner Cone生物型假體置換結合經股骨轉子下橫形截骨 治療CroweⅣ型成人發(fā)育性髖關節(jié)發(fā)育不良()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年01期
頁碼:
33-35
欄目:
臨床報道
出版日期:
2015-01-15

文章信息/Info

作者:
鮑榮華1陳曉東2王國平1夏曉斌1邵利芳1
1.浙江省富陽市中醫(yī)骨傷醫(yī)院,浙江 富陽 311400;
2.上海交通大學醫(yī)學院附屬新華醫(yī)院,上海 200092
關鍵詞:
髖脫位先天性 關節(jié)成形術置換 截骨術 轉子下橫形截骨
摘要:
目的:探討Wagner Cone生物型假體置換結合經股骨轉子下橫形截骨治療CroweⅣ型成人發(fā)育性髖關節(jié)發(fā)育不良(developmental dysplasia of the hip,DDH)的臨床療效和安全性。方法:采用Wagner Cone生物型假體置換結合經股骨轉子下橫形截骨治療CroweⅣ型成人DDH患者20例33髖,男2例3髖,女18例30髖。年齡31~51歲,中位數(shù)42.5歲。單側7例,雙側13例。術后評價患者的臨床療效和并發(fā)癥發(fā)生情況。結果:截骨長度2~5 cm,中位數(shù)3.5 cm; 20例患者均未使用重建杯或髖臼加強環(huán),3例行自體股骨頭結構性植骨。所有患者均獲隨訪,隨訪時間13~62個月,中位數(shù)42.5個月。本組未出現(xiàn)感染、脫位病例; 2例患者遺留輕度跛行,但較術前明顯改善,無股神經麻痹及坐骨神經牽拉傷表現(xiàn); 4例患者股骨截骨端延遲愈合,但均在9個月內骨性愈合。下肢短縮<1 cm者12例,1 cm≤下肢短縮≤2 cm者6例,下肢短縮>2 cm者2例。本組患者術前Harris評分(33.1±4.2)分,術后9個月Harris評分(92.8±2.7)分。結論:采用Wagner Cone生物型假體置換結合經股骨轉子下橫形截骨治療CroweⅣ型成人DDH,可平衡下肢長度,改善下肢功能,減少神經血管損傷,而且并發(fā)癥較少,是治療該病的有效方法之一。

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備注/Memo

備注/Memo:
2014-10-12收稿 2014-11-05修回
基金項目:浙江省中醫(yī)藥重點學科建設項目(2012-XK-D03)
通訊作者:陳曉東 E-mail:[email protected]
更新日期/Last Update: 2015-01-30