| 全髋关节置换术127°小颈干角和135°大颈干角假体的比较 |
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投稿时间：2019-10-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 李群 |
LI Qun |
东南大学附属中大医院溧水分院 南京市溧水区人民医院, 江苏 南京 211200 |
Lishui Branch of CUHK Affiliated to Southeast University, Nanjing Lishui District People's Hospital, Nanjing 211200, Jiangsu, China |
a13728145543@163.com |
| 陈优民 |
CHEN You-min |
东南大学附属中大医院溧水分院 南京市溧水区人民医院, 江苏 南京 211200 |
Lishui Branch of CUHK Affiliated to Southeast University, Nanjing Lishui District People's Hospital, Nanjing 211200, Jiangsu, China |
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| 吴战坡 |
WU Zhan-po |
东南大学附属中大医院溧水分院 南京市溧水区人民医院, 江苏 南京 211200 |
Lishui Branch of CUHK Affiliated to Southeast University, Nanjing Lishui District People's Hospital, Nanjing 211200, Jiangsu, China |
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| 吴富华 |
WU Fu-hua |
东南大学附属中大医院溧水分院 南京市溧水区人民医院, 江苏 南京 211200 |
Lishui Branch of CUHK Affiliated to Southeast University, Nanjing Lishui District People's Hospital, Nanjing 211200, Jiangsu, China |
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| 周建宏 |
ZHOU Jian-hong |
东南大学附属中大医院溧水分院 南京市溧水区人民医院, 江苏 南京 211200 |
Lishui Branch of CUHK Affiliated to Southeast University, Nanjing Lishui District People's Hospital, Nanjing 211200, Jiangsu, China |
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| 丁祖运 |
DING Zu-yun |
东南大学附属中大医院溧水分院 南京市溧水区人民医院, 江苏 南京 211200 |
Lishui Branch of CUHK Affiliated to Southeast University, Nanjing Lishui District People's Hospital, Nanjing 211200, Jiangsu, China |
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| 成昌桂 |
CHENG Chang-gui |
东南大学附属中大医院溧水分院 南京市溧水区人民医院, 江苏 南京 211200 |
Lishui Branch of CUHK Affiliated to Southeast University, Nanjing Lishui District People's Hospital, Nanjing 211200, Jiangsu, China |
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| 付明辉 |
FU Ming-hui |
东南大学附属中大医院溧水分院 南京市溧水区人民医院, 江苏 南京 211200 |
Lishui Branch of CUHK Affiliated to Southeast University, Nanjing Lishui District People's Hospital, Nanjing 211200, Jiangsu, China |
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| 曾四宝 |
ZENG Si-bao |
东南大学附属中大医院溧水分院 南京市溧水区人民医院, 江苏 南京 211200 |
Lishui Branch of CUHK Affiliated to Southeast University, Nanjing Lishui District People's Hospital, Nanjing 211200, Jiangsu, China |
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| 期刊信息：《中国骨伤》2020年，第33卷，第11期，第1027-1031页 |
| DOI：10.12200/j.issn.1003-0034.2020.11.008 |
| 基金项目: |
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| 中文摘要:目的：探讨127°小颈干角和135°大颈干角假体行全髋关节置换术（total hip arthroplasty，THA）的疗效。方法：2014年1月至2016年6月行THA患者84例，男44例，女40例；年龄45~72（53.4±8.1）岁，股骨头坏死68例（左侧32例，右侧36例），其他原因导致严重髋关节骨性关节炎16例，病程9~36（24.0±5.5）个月。分别采用小颈干角（127°）和大颈干角（135°）假体，每组42例，术后两组患者进行髋关节Harris评分，疼痛视觉模拟评分（visual analogue scale，VAS）评分，双下肢长度测量，不同颈干角生物力学评估，比较术后并发症发生情况以及患者术后24个月生活质量。结果：两组患者各有2例患者失访，其余患者均获得随访，随访时间30~36（33.0±1.6）个月。术前及术后1、6、12、24个月进行Harris评分及双下肢长度测量，两组患者髋关节Harris评分及双下肢长度差与术前比较均得到明显改善（P<0.05），而组间差异无统计学意义（P>0.05）。两组术后1、6、12、24个月VAS评分均低于术前（P<0.05）；两组VAS评分术前差异无统计学意义（P>0.05），但术后大颈干角组VAS评分明显低于小颈干角组（P<0.05）。两组术后并发症（包括假体松动、脱位）的发生率差异无统计学意义（P>0.05）。两组患者术后24个月生活质量较术前生活质量明显提高（P<0.05），且组间比较发现135°大颈干角组生活质量较127°小颈干角组生活质量更高（P<0.05）。。结论：大、小颈干角假体的THA均能较好地恢复患者髋关节的功能，但是大颈干角更能降低术后疼痛程度，进而提高患者术后的生活质量。 |
| 【关键词】颈干角 髋假体 关节成形术,置换,髋 |
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| Comparison of 127° small and 135° large stem angle prostheses in total hip arthroplasty |
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| ABSTRACT Objective: To investigate the effect of total hip arthroplasty(THA) with the prosthesis of 127° small neck stem angle and 135° large neck stem angle. Methods: From January 2014 to June 2016,84 patients with THA were selected,including 44 males and 40 females,aged 45 to 72(53.4±8.1) years old,68 patients with necrosis of the femoral head(32 on the left and 36 on the right),16 patients with serious osteoarthritis of the hip caused by other reasons,and the course of disease was 9 to 36(24.0±5.5) months. Forty-two patients in each group were evaluated by Harris score,visual analog score(VAS),length measurement of lower limbs,biomechanical evaluation of different angles of the neck stem. The complications and quality of life 24 months after operation were compared. Results: Two patients in each group were lost,the rest were followed up for 30 to 36(33.0±1.6)months. The Harris score and the length of both lower limbs were measured before and 1,6,12,24 months after operation. The difference of Harris score and the length of both lower limbs in the two groups was significantly improved compared with that before operation(P<0.05),but there was no significant difference between the two groups(P>0.05). There was no significant difference between the two groups in VAS score before operation(P>0.05),but the VAS score of the group with large neck stem angle was significantly lower than that of the group with small neck stem angle(P<0.05). There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05). The quality of life of the patients in the two groups after 24 months was significantly higher than that before operation(P<0.05). Conclusion: THA with large and small neck stem angle prosthesis can better recover the function of hip joint,but large neck stem angle can reduce the degree of postoperative pain and improve the quality of life of patients. |
| KEY WORDS Neck shaft angle Hip prosthesis Arthroplasty,replacement,hip |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李群,陈优民,吴战坡,吴富华,周建宏,丁祖运,成昌桂,付明辉,曾四宝.全髋关节置换术127°小颈干角和135°大颈干角假体的比较[J].中国骨伤,2020,33(11):1027~1031 |
| 英文格式: | LI Qun,CHEN You-min,WU Zhan-po,WU Fu-hua,ZHOU Jian-hong,DING Zu-yun,CHENG Chang-gui,FU Ming-hui,ZENG Si-bao.Comparison of 127° small and 135° large stem angle prostheses in total hip arthroplasty[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(11):1027~1031 |
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