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金属对金属全髋关节表面置换治疗髋关节色素沉着绒毛结节性滑膜炎早期临床效果观察
引用本文:雷鸣,杨述华,许伟华,叶树楠.金属对金属全髋关节表面置换治疗髋关节色素沉着绒毛结节性滑膜炎早期临床效果观察[J].临床骨科杂志,2010,13(2):148-150.
作者姓名:雷鸣  杨述华  许伟华  叶树楠
作者单位:华中科技大学附属协和医院骨科,湖北,武汉,430022
摘    要:目的探讨金属对金属全髋关节表面置换术治疗髋关节色素沉着绒毛结节性滑膜炎(PVNS)的可行性及早期临床效果。方法对7例经影像学检查及病理检查确诊的PVNS实施了滑膜切除+全髋关节表面置换术,术后康复锻炼。手术前后行Harris髋关节功能评分。结果7例均获随访,时间12~20(14.6±2.4)个月。患者假体位置良好,无松动、股骨颈骨折及明显骨溶解等并发症,关节活动度90°~130°,可从事日常生活,未出现复发症状。Harris髋关节功能评分由术前(45.2±7.8)分改善至术后(95.8±2.6)分。结论全髋关节表面置换术结合滑膜切除术早期能有效改善髋关节PVNS患者的临床症状、提高生活质量。

关 键 词:滑膜炎  色素绒毛结节性  髋关节  全髋关节表面置换  滑膜切除  金属对金属  

Short-term clinical outcomes of metal-on-metal hip resurfacing arthroplasty in treating pigmented villonodular synovitis
LEI Ming,YANG Shu-hua,XU Wei-hua,YE Shu-nan.Short-term clinical outcomes of metal-on-metal hip resurfacing arthroplasty in treating pigmented villonodular synovitis[J].Journal of Clinical Orthopaedics,2010,13(2):148-150.
Authors:LEI Ming  YANG Shu-hua  XU Wei-hua  YE Shu-nan
Institution:Dept of Orthopaedics/a>;Union Hospital/a>;Huazhong University of Science & Technology/a>;Wuhan/a>;Hubei 430022/a>;China
Abstract:Objective To study the feasibility and short-term effect of metal-on-metal hip resurfacing arthroplasty combined with synovectomy in treating pigmented villonodular synovitis(PVNS).Methods 7 patients of pigmented villonodular synovitis confirmed by imaging detection and pathology were treated by hip resurfacing arthroplasty combined with synovectomy.Recovery exercises were taken routinely.Preoperative and postoperative pelvis plain radiographs were taken,also with the preoperative magnetic resonance imaging...
Keywords:synovitis  pigmented villonodular  hip joint  hip resurfacing arthroplasty  synovectomy  metal-on-metal  
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