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| 生物型假体全髋置换术后早期负重近期效果 | |
| 引用本文： | 路玉峰,尚希福,胡飞,赵其纯,朱亚林,史国光,贺瑞,吴鸣. 生物型假体全髋置换术后早期负重近期效果[J]. 临床骨科杂志, 2008, 11(6) |
| 作者姓名： | 路玉峰 尚希福 胡飞 赵其纯 朱亚林 史国光 贺瑞 吴鸣 |
| 作者单位： | 安徽医科大学附属省立医院,骨科,安徽,合肥,230001;安徽医科大学附属省立医院,康复科,安徽,合肥,230001 |
| 摘 要： | 目的 探讨生物型全髋置换早期下床负重的可行性.方法 将56例年龄≤70岁的生物型假体全髋置换术后患者随机分成早期负重组(27例)和晚期负重组(29例),所有病例均采用小切口微创技术.早期负重组术后1周内下床拄拐自由负重,晚期负重组术后6周后下地负重,分别对两组进行术后6周和3、6、12、24个月的临床和影像学随访.髋关节功能按Harris评分,并对评分结果进行统计学分析.结果 术后6周、3个月的Harris评分早期负重组为(71.9±10.2)分、(87.6±9.4)分,晚期负重组为(60.3±9.1)分、(74.0±12.0)分,早期负重组明显高于晚期负重组(P＜0.01),Xx线最后随访时假体无松动、下沉;晚期负重组有2例患肢深静脉血栓形成.结论 在保证术中假体初始稳定性的前提下,生物型全髋置换术后可以早期下床负重;近期能明显促进患肢的功能恢复,预防下肢深静脉血栓形成. |
| 关 键 词： | 生物型假体全髋置换 负重 初始稳定性 解剖型股骨假体 Harris评分 |
Short-term effect of early weight bearing after uncemented total hip arthroplasty |
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| LU Yü-feng,SHANG Xi-fu,HU Fei,ZHAO Qi-chun,ZHU Ya-lin,SHI Guo-guang,HE Rui,WU Ming. Short-term effect of early weight bearing after uncemented total hip arthroplasty[J]. Journal of Clinical Orthopaedics, 2008, 11(6) | |
| Authors: | LU Yü-feng SHANG Xi-fu HU Fei ZHAO Qi-chun ZHU Ya-lin SHI Guo-guang HE Rui WU Ming |
| Affiliation: | Dept of Orthopaedics;the Affiliated Provincial Hospital of Anhui Medical University;Hefei;Anhui 230001;China |
| Abstract: | Objective To investigate the feasibility of early weight bearing after uncemented total hip arthroplasty.Methods 56 patients less than 70 years old were divided randomly into early(27 cases) or late(29 cases) weight bearing group.The patients belonging to early weight bearing group were instructed to walk with one or two crutches within one week after operation,and patients belonging to late weight bearing group were allowed to walk in 6 weeks after operation.All patients were followed up in 6 weeks,3,6,12 ... |
| Keywords: | uncemented total hip arthroplasty weight-bearing primary stability anatomic femoral prosthesis Harris hip score |
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