| 改良EPSTR预防全髋置换术后脱位 |
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投稿时间：2008-09-02
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| 作者 | Author | 单位 | Address | E-Mail |
| 李琪 |
LI Qi |
温州医学院附属第三医院骨科,浙江 瑞安 325200 |
Department of Orthopaedics,the Third Affiliated Hospital of Wenzhou Medical College,Ruian 325200,Zhejiang,China |
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| 张力成 |
ZHANG Li-cheng |
温州医学院附属第三医院骨科,浙江 瑞安 325200 |
Department of Orthopaedics,the Third Affiliated Hospital of Wenzhou Medical College,Ruian 325200,Zhejiang,China |
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| 杨国敬 |
YANG Guo-jing |
温州医学院附属第三医院骨科,浙江 瑞安 325200 |
Department of Orthopaedics,the Third Affiliated Hospital of Wenzhou Medical College,Ruian 325200,Zhejiang,China |
liqi20051166@163.com |
| 蔡春元 |
CAI Chun-yuan |
温州医学院附属第三医院骨科,浙江 瑞安 325200 |
Department of Orthopaedics,the Third Affiliated Hospital of Wenzhou Medical College,Ruian 325200,Zhejiang,China |
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| 汤呈宣 |
TANG Cheng-xuan |
温州医学院附属第三医院骨科,浙江 瑞安 325200 |
Department of Orthopaedics,the Third Affiliated Hospital of Wenzhou Medical College,Ruian 325200,Zhejiang,China |
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| 王伟良 |
WANG Wei-liang |
温州医学院附属第三医院骨科,浙江 瑞安 325200 |
Department of Orthopaedics,the Third Affiliated Hospital of Wenzhou Medical College,Ruian 325200,Zhejiang,China |
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| 林利兴 |
LIN Li-xing |
温州医学院附属第三医院骨科,浙江 瑞安 325200 |
Department of Orthopaedics,the Third Affiliated Hospital of Wenzhou Medical College,Ruian 325200,Zhejiang,China |
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| 期刊信息：《中国骨伤》2009年，第22卷，第1期，第33-34页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目:温州市科技局项目(编号：Y20080036) |
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中文摘要:
目的：探讨改良EPSTR法预防全髋置换术后脱位的临床疗效。
方法：2006年1月至2007年5月，在85例(87髋)全髋置换中采用改良EPSTR法对后路结构进行修补，男39例，女46例；年龄62～85岁，平均69.5岁。新鲜股骨颈骨折58髋，股骨头坏死25髋，髋关节骨关节炎3髋，股骨粗隆间骨折内固定失败1髋。
结果：85例均获随访，时间8～24个月，平均15个月，没有发现髋关节后脱位、髋关节外旋挛缩畸形和大转子骨折，术后6个月Harris评分平均为(89.2±4.5)分。
结论：改良EPSTR法是一种预防全髋置换术后脱位的有效和简捷的方法，具有临床应用价值。 |
| 【关键词】脱位 关节成形术,置换,髋 修补 |
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| Improved EPSTR for prevention of dislocation after total hip arthroplasty |
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ABSTRACT
Objective: To explore the effect of improved EPSTR on prevention of dislocation after total hip arthroplasty.
Methods: From January 2006 to May 2007, the posterior structures were repaired using improved EPSTR in 85 cases (87 hips) of total hip arthroplasty, which involved 39 males and 46 females,with an average age of 69.5 years(range,from 62 to 85 years). Fifty-eight cases were of fresh femoral neck fracture,25 cases were of aseptic necrosis of femoral head,3 cases were of osteoarthritis,1 case was of a internal fixation failure of femoral intertrochanteric fracture.
Results: All 85 cases were followed up for 8-24 months(average 15 months). None of these 85 patients had posterior dislocation,external rotation contracture and greater trochanter fracture. The Harris score at the 6th month postoperatively was 89.2±4.5.
Conclusion: Improved EPSTR is an effective,simple and timesaving method in prevention of dislocation after total hip arthroplasty, it has clinical application value. |
| KEY WORDS Dislocation Arthroplasty,replacement,hip Repair |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李琪,张力成,杨国敬,蔡春元,汤呈宣,王伟良,林利兴.改良EPSTR预防全髋置换术后脱位[J].中国骨伤,2009,22(1):33~34 |
| 英文格式: | LI Qi,ZHANG Li-cheng,YANG Guo-jing,CAI Chun-yuan,TANG Cheng-xuan,WANG Wei-liang,LIN Li-xing.Improved EPSTR for prevention of dislocation after total hip arthroplasty[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(1):33~34 |
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