| 髋关节结核病灶清除术后关节僵硬的特点及治疗 |
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Received:May 11, 2000 Revised:November 10, 2000
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| 期刊信息：《中国骨伤》2001年14卷，第9期，第519-521页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨髋关节结核病灶清除术后关节僵硬的预防与治疗。
方法：20例髋关节结核病灶清除术后关节僵硬病人,首先给予全麻下手法松解,未达优良者经髋关节后外侧切口进入行软组织松解手术治疗,术后髋关节均屈曲位固定3天,然后进行CPM功能锻炼及主动功能锻炼。
结果：术后半年20例髋关节屈曲均超过90°,14例可达120°。
结论：全麻下行髋关节手法松解,或股骨髁上骨牵引加全麻下行髋关节手法松解,对大多数髋关节结核病灶清除术后关节僵硬的改善是十分有效的；少数严重病例,由髋关节后外侧切口进入行软组织松解术亦可取得满意效果。CPM功能锻炼及主动功能锻炼是治疗的重要组成部分 |
| [关键词]:髋关节 结核,骨关节 关节强直 |
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| Clinical features and management of ankylosis after focus Debri’dement of tuberculosis of the hip |
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Abstract:
Objective:To explore prevention and treatment methods of ankylosis after focal debri’dement of tuberculosis of the hip
Methods:20 patients with ankylosis after focal debri’dement of tuberculosis of the hip were reviewed.All were treated with manipulation at first to release the contracture under general anesthesia;if there was no effect,release operation of soft tissues was performed through posteriolateral approach.After the operation,the hip joints were fixed at flexed position for 3 days followed by active exercise and CMP treatment.
Results:After a period follow-up of 6 months,the flexion angles of hip joint were more than 90° in 20 cases,even reached 120° in 14 cases.
Conclusion:This study showed that manual treatment to release muscular under general anesthesia,or combined with supracondylar skeletal traction of femur were very effective to improve articular function of patients with ankylosis after focal debri’dement of tuberculosis of the hip.In some patients with severe symptoms,release operation of soft tissues through posteriolateral approach also produced good effects.After operation,active exercise and CMP treatment are important. |
| KEYWORDS:Hip joint Tuberculosis osteoarticular Ankylosis |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张亮,靳安民,胡俊勇.髋关节结核病灶清除术后关节僵硬的特点及治疗[J].中国骨伤,2001,14(9):519~521 |
| 英文格式: | ZHANG Liang,JIN An-min,HU Jun-yong.Clinical features and management of ankylosis after focus Debri’dement of tuberculosis of the hip[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(9):519~521 |
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