强直性脊柱炎I期双侧人工全髋关节置换术

目的观察强直性脊柱炎同期行双侧人工全髋关节置换术的疗效。方法自2008-05—2011-05对6例强直性脊柱炎患者行双侧人工全髋关节置换术,男5例,女1例;年龄31～42岁,平均37岁;术前双髋关节骨性强直,活动度0度,5例髋关节屈曲挛缩。结果术后6例均获得随访,随访时间6个月～3 a,平均27个月,无关节脱位、感染、松动、深静脉栓塞等并发症发生;Harris评分优良率为83.3%。结论强直性脊柱炎双侧髋关节完全强直,行同期双侧人工髋关节置换有利于患者功能恢复,提高生活质量。

Simultaneously bilateral total hip replacement for ankylosing spondylitis

Objective To observe the results of Simultaneously bilateral total hip replacement for ankylosing spondylitis Methods From May 2008 through May 2011,one stage bilateral total hip replacement were underwent for 6 patients fuffering ankylosing spondylitis,whose both hip were bony fusion.Male 5,female 1,the average age was 37(vary from 31 to 42),the hip flexion contracture to varied degree was found in 5 patients.Results All of 6 cases were followed-up 6 months to 3 years postoperatively(average 2 years and 3 months),No obvious complicotions occurred in 6 patients,such as hip joint dislocation,superficial or deep infection,prosthesis loose and deep venous thrombosis.The excellent and good rate was 83.6% according to Harris scale evaluation.Conclusion Simultaneously bilateral total hip replacement for ankylosing spondylitis with bilateral hip completely stiffness is beneficial to the patients,which can improve their quality of life.