【摘要】 目的探讨人工全髋关节置换术治疗髋臼内陷症的临床疗效。方法 48例患者均行人工全髋关节置换术及骨水泥修复重建以及植骨加非骨水泥联合重建,随访并记录术后切口愈合率、并发症发生率及术前后Harris评分,行X线片复查。结果随访6～12个月,切口愈合率为100%;术后评分Harris评分为(80.5±6.5)分,较术前比较平均高出42分,与术前比较P<0.05;术后1年复查,X线片显示植骨与髋臼间愈合良好,假体位置无松动、移位,无髋臼再次内陷,髋关节的旋转中心恢复到解剖位置。结论人工全髋关节置换术治疗髋臼内陷症安全有效,髋臼重建尽可能使用植骨术及非骨水泥假体,以获得更好的早期疗效。更多还原

【Abstract】 Objective To investigate the clinical efficacy of THR on the treatment of acetabular invagination.Methods Forty-eight cases were all treated with THR,bone cement reconstruction and bone grafting together with non-bone cement reconstruction.Follow-up visits were carried out,and post-operative incision healing rate,complication incidence,Harris rating before and after surgery and X-ray review were recorded.Results During the follow-up visit of six to twelve months,the incision healing rate was 100%.Post-operative Harris rating was 80.5±6.5,averagely 42 grades higher than those before surgery.Compared with condition before surgery,P < 0.05.In the review one year after surgery,X-ray showed that healing goes well between acetabulum.There was no looseness or displacement of prosthesis.There was no further acetabular invagination.The pivot of hip joints were back to the anatomic location.Conclusion THR is safe and effective on the treatment of acetabular invagination,bone grafting and non-bone cement prosthesis are better used for acetabular reconstruction to achieve good early efficacy.更多还原