| 人工全髋关节置换治疗陈旧性髋臼骨折早期临床研究 |
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投稿时间：2011-10-23
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| 作者 | Author | 单位 | Address | E-Mail |
| 赏后来 |
SHANG Hou-lai |
南京大学医学院临床学院 南京军区南京总医院,江苏 南京 210002 |
Department of Orthopaedics,College of Medicine,Nanjing University/Nanjing General Hospital of Nanjing Military Command of PLA,Nanjing 210002,Jiangsu,China |
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| 赵建宁 |
ZHAO Jian-ning |
南京大学医学院临床学院 南京军区南京总医院,江苏 南京 210002 |
Department of Orthopaedics,College of Medicine,Nanjing University/Nanjing General Hospital of Nanjing Military Command of PLA,Nanjing 210002,Jiangsu,China |
zhaojianning0207@163.com |
| 王与荣 |
WANG Yu-rong |
南京大学医学院临床学院 南京军区南京总医院,江苏 南京 210002 |
Department of Orthopaedics,College of Medicine,Nanjing University/Nanjing General Hospital of Nanjing Military Command of PLA,Nanjing 210002,Jiangsu,China |
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| 郭亭 |
GUO Ting |
南京大学医学院临床学院 南京军区南京总医院,江苏 南京 210002 |
Department of Orthopaedics,College of Medicine,Nanjing University/Nanjing General Hospital of Nanjing Military Command of PLA,Nanjing 210002,Jiangsu,China |
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| 周利武 |
ZHOU Li-wu |
南京大学医学院临床学院 南京军区南京总医院,江苏 南京 210002 |
Department of Orthopaedics,College of Medicine,Nanjing University/Nanjing General Hospital of Nanjing Military Command of PLA,Nanjing 210002,Jiangsu,China |
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| 程秀红 |
CHENG Xiu-hong |
南京大学医学院临床学院 南京军区南京总医院,江苏 南京 210002 |
Department of Orthopaedics,College of Medicine,Nanjing University/Nanjing General Hospital of Nanjing Military Command of PLA,Nanjing 210002,Jiangsu,China |
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| 周娟 |
ZHOU Juan |
南京大学医学院临床学院 南京军区南京总医院,江苏 南京 210002 |
Department of Orthopaedics,College of Medicine,Nanjing University/Nanjing General Hospital of Nanjing Military Command of PLA,Nanjing 210002,Jiangsu,China |
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| 期刊信息：《中国骨伤》2012年，第25卷，第6期，第505-508页 |
| DOI：10.3969/j.issn.1003-0034.2012.06.017 |
基金项目:全军医学科学技术研究“十一五”计划课题项目(编号:06G043)
Fund programs:The“Eleventh Five-year”Plan Projects of Medical Science and Technology Research of PLA(No. 06G043) |
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中文摘要:
目的: 分析人工全髋关节置换(THA)治疗陈旧性髋臼骨折的早期临床疗效.
方法: 自2007年1月至2010年6月采用THA治疗陈旧性髋臼骨折13例(13髋),其中男10例,女3例.10例髋臼骨折曾行单纯内固定治疗,3例曾行保守治疗.采用髋关节功能Harris评分评价疗效.
结果: 术后13例全部得到随访,持续1年,分别拍摄患侧髋关节正侧位X线片,对患侧髋关节功能进行Harris评分.术后随访1年,未见假体松动征象,Harris评分平均(83.38±3.33)分,较术前(37.19±20.12)分明显提高.
结论: 陈旧性髋臼骨折因骨折畸形愈合,内固定失败后骨折再次移位,大面积不规则骨缺损等问题,治疗难度大,术中恢复解剖位置困难,THA是治疗陈旧性髋臼骨折有效手术方法.但较普通全髋关节置换,需很强手术经验和技巧. |
| 【关键词】关节成形术,置换,髋 髋臼 骨折 髋关节 |
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| Early clinical research of total hip arthroplasty for the treatment of old acetabular fractures |
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ABSTRACT
Objective: To analyze the early clinical effects of total hip arthroplasty(THA) for the treatment of old acetabular fractures.
Methods: From January 2007 to June 2010,thirteen patients with old acetabular fractures were reviewed,including 10 males and 3 females. Ten patients were treated with internal fixation and conservative treatment had been used in three patients. The average Harris Hip Score was used to evaluate therapeutic effects.
Results: After operation,all thirteen patients were followed up for one year. Hip X-ray films were taken and prosthesis loosening was not seen on any of the films at the 1st year after operation. The Harris Hip Score improved from preoperative (37.19±20.12) to postoperative (83.38±3.33),there was statistically significant difference.
Conclusion: For reasons of malunion or failure of internal fixation,large and various bone defect,it's difficult to reach the anatomical reduction. THA is a good treatment method,but it needs rich skills and experience compared with ordinary operation. |
| KEY WORDS Arthropalsty,replacement,hip Acetabulum Fractures Hip joint |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 赏后来,赵建宁,王与荣,郭亭,周利武,程秀红,周娟.人工全髋关节置换治疗陈旧性髋臼骨折早期临床研究[J].中国骨伤,2012,25(6):505~508 |
| 英文格式: | SHANG Hou-lai,ZHAO Jian-ning,WANG Yu-rong,GUO Ting,ZHOU Li-wu,CHENG Xiu-hong,ZHOU Juan.Early clinical research of total hip arthroplasty for the treatment of old acetabular fractures[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(6):505~508 |
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