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[1]潘慶松,王林軍,陳廷剛,等.改良Ilizarov髖關(guān)節(jié)重建術(shù)治療髖關(guān)節(jié)高位脫位[J].中醫(yī)正骨,2023,35(05):68-72.
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改良Ilizarov髖關(guān)節(jié)重建術(shù)治療髖關(guān)節(jié)高位脫位()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期數(shù):
2023年05期
頁碼:
68-72
欄目:
臨床報(bào)道
出版日期:
2023-05-20

文章信息/Info

作者:
潘慶松1; 王林軍1; 陳廷剛1; 李前松1; 彭愛民2; 葛啟航3
(1.貴州省職工醫(yī)院,貴州 貴陽 550025; 2.首都醫(yī)科大學(xué)附屬北京康復(fù)醫(yī)院,北京 100144; 3.湄潭縣中西醫(yī)結(jié)合醫(yī)院,貴州 湄潭 564100)
關(guān)鍵詞:
髖脫位;  截骨術(shù);  伊利扎羅夫技術(shù)
摘要:
目的:觀察改良Ilizarov髖關(guān)節(jié)重建術(shù)治療髖關(guān)節(jié)高位脫位的臨床療效和安全性。方法:2018年1月至2021年1月,采用改良Ilizarov髖關(guān)節(jié)重建術(shù)治療髖關(guān)節(jié)高位脫位患者31例,其中男9例、女22例,左側(cè)12例、右側(cè)19例,發(fā)育性髖關(guān)節(jié)發(fā)育不良致髖關(guān)節(jié)高位脫位25例、化膿性髖關(guān)節(jié)炎致髖關(guān)節(jié)畸形高位脫位4例、外傷性髖關(guān)節(jié)發(fā)育不良致髖關(guān)節(jié)高位脫位2例; 年齡 16～50歲,中位數(shù)23歲。術(shù)中分別在股骨近端和遠(yuǎn)端截骨,并在股骨遠(yuǎn)端截骨點(diǎn)的遠(yuǎn)端呈三角形分布打入3枚直徑5.0 mm的螺紋半針進(jìn)行骨延長。分別于術(shù)前及術(shù)后拆除外固定器后6個(gè)月,觀察患肢長度恢復(fù)及患者步態(tài)改善情況,采用Harris髖關(guān)節(jié)評(píng)分評(píng)價(jià)髖關(guān)節(jié)功能,采用疼痛視覺模擬量表(visual analogue scale,VAS)評(píng)分評(píng)價(jià)髖關(guān)節(jié)疼痛情況,采用健康調(diào)查簡表(the MOS 36-item short-form health survey,SF-36)評(píng)分評(píng)價(jià)患者生活質(zhì)量。結(jié)果:31例患者均獲隨訪,隨訪時(shí)間17～31個(gè)月,中位數(shù)19個(gè)月。術(shù)后骨延長截骨端骨折不愈合1例,采用“手風(fēng)琴技術(shù)”治療后骨折愈合; 并發(fā)針道感染、骨針?biāo)蓜?dòng)2例,經(jīng)更換骨針、加強(qiáng)換藥及抗感染治療后感染控制。骨延長截骨端骨折愈合時(shí)間9～26個(gè)月,中位數(shù)12個(gè)月。拆除外固定器后6個(gè)月,患者雙下肢基本等長,Trendelenburg征消失,步態(tài)明顯改善,Harris髖關(guān)節(jié)評(píng)分及SF-36評(píng)分較術(shù)前提高[(41.97±1.02)分,(88.13±2.38)分,t=-126.319,P=0.000;(87.81±5.26)分,(112.13±2.9)分,t=-29.723,P=0.000],髖關(guān)節(jié)疼痛VAS評(píng)分較術(shù)前降低[(8.87±1.12)分,(2.87±1.48)分,t=33.407,P=0.000]。結(jié)論:改良Ilizarov髖關(guān)節(jié)重建術(shù)治療髖關(guān)節(jié)高位脫位,可恢復(fù)患肢長度,緩解患髖疼痛,改善患髖功能和患者步態(tài),提高患者生活質(zhì)量,且并發(fā)癥少。

參考文獻(xiàn)/References:

[1] HUSSAIN R N,RAD D,WATKINS W J,et al.The incidence of avascular necrosis following a cohort of treated developmental dysplasia of the hip in a single tertiary centre[J].J Child Orthop,2021,15(3):232-240.
[2] 李照文,李培金,葉勁,等.全髖關(guān)節(jié)置換術(shù)治療成人高位髖關(guān)節(jié)脫位[J].臨床骨科雜志,2021,24(6):787-791.
[3] OKAMOTO M,SEKI T,TAKEGAMI Y,et al.Effect of trochanter displacement on impingement and bone contact in total hip arthroplasty performed after curved intertrochanteric varus osteotomy for osteonecrosis of the femoral head:a simulation study[J].BMC Musculoskelet Disord,2022,23(1):850.
[4] FERNANDEZ-FERNANDEZ R,MORALEDA-NOVO L,DE ARMAS J N,et al.Outcome measures and survivorship following total hip arthroplasty in adolescent population[J].Int Orthop,2022,46(12):2785-2791.
[5] TAYLOR-WILLIAMS O,NOSSENT J,INDERJEETH C A.Incidence and complication rates for total hip arthroplasty in rheumatoid arthritis:a systematic review and meta-analysis across four decades[J].Rheumatol Ther,2020,7(4):685-702.
[6] METCALFE D,PETERSON N,WILKINSON J M,et al.Temporal trends and survivorship of total hip arthroplasty in very young patients:a study using the National Joint Registry data set[J].Bone Joint J,2018,100-B(10):1320-1329.
[7] 甘彥峰,高峰,黃奇.髖關(guān)節(jié)融合術(shù)治療晚期髖關(guān)節(jié)結(jié)核的療效評(píng)估[J].局解手術(shù)學(xué)雜志,2017,26(2):132-135.
[8] JAUREGUI J J,KIM J K,SHIELD W P 3rd,et al.Hip fusion takedown to a total hip arthroplasty—is it worth it?A systematic review[J].Int Orthop,2017,41(8):1535-1542.
[9] 張永國,楊華清,彭愛民,等.高海拔地區(qū)Ilizarov技術(shù)治療嚴(yán)重髖關(guān)節(jié)殘障[J].中國矯形外科雜志,2021,29(3):267-269.
[10] 吳鴻飛,梁喜斌,趙巍,等.改良Ilizarov髖重建術(shù)治療青年髖關(guān)節(jié)疾患[J].中國修復(fù)重建外科雜志,2019,33(11):1379-1383.
[11] SOLOMIN L N.Ilizarov技術(shù)基本原理與應(yīng)用[M].康慶林,覃承訶,譯.北京:科學(xué)出版社,2019:731.
[12] MARIMUTHU K,JOSHI N,SHARMA C S,et al.Ilizarov hip reconstruction in skeletally mature young patients with chronic unstable hip joints[J].Arch Orthop Trauma Surg,2011,131(12):1631-1637.
[13] BERRY D J,LIEBERMAN J R.髖關(guān)節(jié)外科學(xué)[M].何偉,譯.北京:北京大學(xué)醫(yī)學(xué)出版社,2016:292.
[14] 郭保逢,趙巍,徐執(zhí)揚(yáng),等.Ilizarov外固定“手風(fēng)琴技術(shù)”治療成人股骨骨不連[J].中國矯形外科雜志,2020,28(3):267-270.
[15] 秦泗河.Ilizarov技術(shù)與骨科自然重建理念[J].中國矯形外科雜志,2007,178(8):595-596.
[16] LUO S H, KONG L C,WANG J H,et al.Development of modified Ilizarov hip reconstruction surgery for hip dysfunction treatment in adolescent and young adults[J].J Orthop Translat,2020,27:90-95.
[17] PLOEGER M M,GATHEN M,STRUWE C,et al.Proximal femoral osteotomies in the adolescence:indications and treatment strategies[J].Z Orthop Unfall,2021,159(2):153-163.
[18] PARK K W,SHAH I P,RAMANATHAN A K,et al.Proximal femoral osteotomy in Legg-Calvé-Perthes disease using a monolateral external fixator:surgical technique,outcome, and complications[J].J Pediatr Orthop B,2017,26(4):329-335.

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備注/Memo:
通訊作者:王林軍 E-mail:[email protected]
更新日期/Last Update: 1900-01-01