| 严重髋臼骨折全髋置换适应证选择及临床效果观察 |
| |
| 引用本文： | 杨述华,冯勇,许伟华,叶树楠,刘国辉,刘勇,叶哲伟.严重髋臼骨折全髋置换适应证选择及临床效果观察[J].中国骨与关节损伤杂志,2010,25(1). |
| |
| 作者姓名： | 杨述华 冯勇 许伟华 叶树楠 刘国辉 刘勇 叶哲伟 |
| |
| 作者单位： | 华中科技大学同济医学院附属协和医院骨科,湖北省武汉市,430022 |
| |
| 基金项目： | 国家自然科学基金资助项目(30973044) |
| |
| 摘 要： | 目的探讨早期和晚期全髋关节置换术治疗严重髋臼移位骨折的疗效与评价。方法对17例髋臼骨折移位施行了早期全髋置换术,伤后到手术时间平均8d(5～21d),平均年龄53岁(26～69岁)。对髋臼骨折继发性严重的创伤性关节炎5例,股骨头坏死2例,股骨头持续性后脱位2例分别施行了晚期挽救性全髋置换术,伤后到手术时间平均7个月(3～25个月),平均年龄37岁(26～46岁)。结果平均随访时间为4.1年(1～6年)。最后随访根据Harris评分平均为82分(69～100分),其中25例疗效为优良,1例发生异位骨化。无一例发生假体松动,1例发生髋臼杯严重中央移位。结论严重髋臼移位骨折,常规切开复位内固定难以取得良好疗效,施行早期全髋置换术效果肯定。髋臼骨折手术所致的创伤性关节炎、髋关节后方脱位、股骨头坏死等并发症施行晚期挽救性全髋置换术效果亦肯定。手术最好由对髋臼创伤及全髋置换经验丰富的骨科医生施行。
|
| 关 键 词： | 早期 晚期 髋臼骨折 全髋置换 |
Indication and Effect of Total Hip Replacement for Severe Acetabular Fractures |
| |
| Yang Shuhua,Feng Yong,Xu Weihua,et al..Indication and Effect of Total Hip Replacement for Severe Acetabular Fractures[J].Chinese Journal of Bone and Joint Injury,2010,25(1). |
| |
| Authors: | Yang Shuhua Feng Yong Xu Weihua |
| |
| Institution: | Yang Shuhua,Feng Yong,Xu Weihua,et al.Dept of Orthopaedics,Union Hospital,Tongji Medical College of Huazhong University of Science , Technology,Wuhan,430022 |
| |
| Abstract: | Objective To investigate effect of early and late total hip replacement for severe fracture of acetabulum. Methods Total hip replacement was carried out in 17 cases of early severe fracture of acetabulum. The period from fracture to operation averaged 8 days (5~ 21d).Hip joint replacement was carried out in 9 cases later severe fracture of acetabulum (5 cases of traumatic arthritis, and 2 cases of necrosis of femoral head, 2 cases of continuous dislocation of femoral head).The period from fracture treatment... |
| |
| Keywords: | Early Later Acetabular fracture Total hip arthroplasty |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
