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全髋关节置换术中髋臼意外的处理

Hits: 1946 Download times: 1337 Received:August 21, 2002

作者	Author	单位	Unit	E-Mail
唐尚权	TANG Shangquan	三峡医院骨科,湖北宜昌 443002	Department of Trauma and Orthopaedics, the Hospital of Three Gorges, Hubei Yichang 443002
杨述华	YANG Shuhua	华中科技大学同济医学院附属协和医院骨科
郜勇	GAOYnng	华中科技大学同济医学院附属协和医院骨科
杜靖远		华中科技大学同济医学院附属协和医院骨科
李智勇		宜都市中医院外科
徐德利		武汉市东西湖区人民医院
李进		华中科技大学同济医学院附属协和医院骨科
杨操		华中科技大学同济医学院附属协和医院骨科
许伟华		华中科技大学同济医学院附属协和医院骨科

期刊信息：《中国骨伤》2003年16卷，第4期，第208-210页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

目的:探讨全髋置换术中髋臼意外的处理方法。

方法:回顾性分析11例13髋全髋置换术中出现的髋臼假体床骨质不足、缺损,利用截除的股骨头自体植骨进行修补或重建,对髋臼顶被锉穿盆腔出血,采用填塞止血并用股骨头松质骨骨泥填塞后重建。

结果 :随访6个月～3年,通过临床和放射学评定,优良率达84.62％,无髋臼假体松动及移位。

结论:利用自体股骨头移植修复、重建置换术中出现意外的髋臼,可以获得较满意的结果。

[关键词]:关节成形术,置换,髓骨移植

Management of acetabular accident in replacement of total hip

Abstract:

Objective:To explore the Methods for management of acetabular accident in replacement total hip

Methods:11 cases (13 hip) of defect of the acetabulum during the operation of replacement of total hip were analyzed. The acetabulum was rebuilt using the autogeneous bone grafting of cut femoral head.

Results:All the cases were followed up from 6 months to 3 years according to clinical and radiological evaluation, with 84.62 % excellent and good rate. No loosening or dislocation of prosthesis was found.

Conclusion:Acetabular reconstruction with autogenous grafts from the femoral head promises to be very successful for acetabular accident in replacement of total hip.

KEYWORDS:Arthroplasty, replacement, hip Bone transplantation

引用本文，请按以下格式著录参考文献：

中文格式:	唐尚权,杨述华,郜勇,杜靖远,李智勇,徐德利,李进,杨操,许伟华.全髋关节置换术中髋臼意外的处理[J].中国骨伤,2003,16(4):208~210
英文格式:	TANG Shangquan,YANG Shuhua,GAOYnng.Management of acetabular accident in replacement of total hip[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(4):208~210

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