【摘要】 评价大转子延长截骨并行单纯钢丝捆扎在人工髋关节置换(THR)术后感染一期翻修中的作用及对翻修假体的影响。选取2010年10月~2013年10月期间30例髋关节置换术后假体感染性松动并行一期翻修术的患者,随访时间(34.8±13.2)月,对患者手术时间、截骨长度和愈合时间、术前术后Harris评分及术后感染控制情况进行统计。30例患者髋关节术后评分明显高于术前,手术时间为(132.4±23.6)min,经大转子截骨长度为(11.4±2.6)cm,截骨愈合时间(3.8±1.3)个月。术后感染未见复发。因此THR术后感染的一期翻修术中应用大转子延长截骨方法能缩短手术时间,髋关节功能较术前明显改善。更多还原

【Abstract】 To evaluate the effects of extended trochanteric osteotomy in one-stage revision for infected hip arthroplasty,30cases of revision THR for infection were selected from October 2010to October 2013.An average of(34.8±13.2)months follow-up was carried out.Operation time,osteotomy length,osteotomy union time pre- and post-operative Harris score were analyzed.The average Harris hip score after operation was significantly increased compared with preoperation.The average operation time was(132.4±23.6)minutes,and the average osteotomy length was(11.4±2.6)cm.The average osteotomy union time was(3.8±1.3)months.ESR and CRP were normal after operation.Extended trochanteric osteotomy in hip revision surgery can effectively reduce the operation time,and the hip function obviously improved compared with preoperative.更多还原