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[1]孫京濤,劉宏建,魏瑄,等.改良Hardinge入路在人工全髖關(guān)節(jié)置換術(shù)中的應(yīng)用[J].中醫(yī)正骨,2017,29(04):61-62,66.
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改良Hardinge入路在人工全髖關(guān)節(jié)置換術(shù)中的應(yīng)用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年04期
頁(yè)碼:
61-62,66
欄目:
臨床報(bào)道
出版日期:
2017-04-20

文章信息/Info

作者:
孫京濤1劉宏建2魏瑄1王少華1蔡松濤1
1.河南省鄭州市骨科醫(yī)院,河南 鄭州 450052; 2.鄭州大學(xué)第一附屬醫(yī)院,河南 鄭州 450052
關(guān)鍵詞:
關(guān)節(jié)成形術(shù)置換 股骨頭壞死 股骨頸骨折 骨關(guān)節(jié)炎 髖脫位先天性 改良Hardinge入路
摘要:
探討改良Hardinge入路在人工全髖關(guān)節(jié)置換術(shù)中的應(yīng)用效果及安全性。方法:2013年3月至2014年3月,采用改良Hardinge入路行人工全髖關(guān)節(jié)置換術(shù)60例,男29例、女31例; 年齡56~78歲,中位數(shù)64歲; 股骨頭壞死22例,股骨頸骨折24例,髖關(guān)節(jié)骨關(guān)節(jié)炎10例,發(fā)育性髖脫位4例。左側(cè)23例,右側(cè)31例,雙側(cè)6例。記錄手術(shù)時(shí)間及術(shù)中出血量,術(shù)后第7天在髖關(guān)節(jié)X線片上測(cè)量髖臼假體前傾角和外展角,分別于術(shù)前和術(shù)后6個(gè)月采用Harris髖關(guān)節(jié)功能評(píng)分標(biāo)準(zhǔn)評(píng)價(jià)髖關(guān)節(jié)功能,并觀察并發(fā)癥發(fā)生情況。結(jié)果:本組手術(shù)時(shí)間(108.75±24.76)min,術(shù)中出血量(235.65±25.60)mL。術(shù)后第7天,髖臼假體前傾角(15.73±6.22)°、外展角(41.12±7.04)°。60例患者均獲隨訪,隨訪時(shí)間12~24個(gè)月,中位數(shù)14個(gè)月。Harris髖關(guān)節(jié)功能評(píng)分,術(shù)前(40.12±3.78)分,術(shù)后6個(gè)月(87.23±4.89)分。均無(wú)感染、局部血腫及關(guān)節(jié)脫位等并發(fā)癥發(fā)生。結(jié)論:采用改良Hardinge入路行人工全髖關(guān)節(jié)置換術(shù),創(chuàng)傷小,假體可植入安全位置,有利于髖關(guān)節(jié)功能恢復(fù),安全可靠。

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更新日期/Last Update: 1900-01-01