| 全髋关节置换术治疗髋臼骨折内固定术后继发创伤性髋关节炎的疗效观察 |
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Received:June 20, 2016
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| 作者 | Author | 单位 | Unit | E-Mail |
| 安雪军 |
AN Xue-jun |
山西省人民医院骨科, 山西 太原 030012 |
Department of Orthopaedics, Shanxi Province People's Hospital, Taiyuan 030012, Shanxi, China |
axjdoc@126.com |
| 宋洁富 |
SONG Jie-fu |
山西省人民医院骨科, 山西 太原 030012 |
Department of Orthopaedics, Shanxi Province People's Hospital, Taiyuan 030012, Shanxi, China |
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| 魏杰 |
WEI Jie |
山西省人民医院骨科, 山西 太原 030012 |
Department of Orthopaedics, Shanxi Province People's Hospital, Taiyuan 030012, Shanxi, China |
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| 张宇明 |
ZHANG Yu-ming |
山西省人民医院骨科, 山西 太原 030012 |
Department of Orthopaedics, Shanxi Province People's Hospital, Taiyuan 030012, Shanxi, China |
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| 苏云星 |
SU Yun-xing |
山西省人民医院骨科, 山西 太原 030012 |
Department of Orthopaedics, Shanxi Province People's Hospital, Taiyuan 030012, Shanxi, China |
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| 期刊信息：《中国骨伤》2017年30卷，第3期，第233-235页 |
| DOI：10.3969/j.issn.1003-0034.2017.03.009 |
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目的：探讨人工全髋关节置换术治疗髋臼骨折术后创伤性关节炎的临床疗效。
方法：回顾性分析2010年6月至2014年6月收治的33例（33髋）髋臼骨折术后创伤性关节炎患者资料，男21例，女12例；年龄22～65岁，平均44.6岁。均采用生物型假体行全髋关节置换术治疗。采用Harris评分对患者术前后的髋关节功能进行评分，拍X线片对假体状态进行影像学评估。
结果：所有患者获得随访，随访时间7～38个月，平均21.6个月。末次随访时髋关节Harris评分从术前平均（53.6±2.4）分提高至（94.0±3.0）分，差异有统计学意义（t=55.37，P<0.05），髋关节功能明显改善。影像学评估显示假体位置良好，无假体松动、关节脱位及明显假体周围骨溶解等并发症。
结论：全髋关节置换术是治疗髋臼骨折内固定术后继发创伤性髋关节炎的有效治疗手段，髋臼骨折内固定材料显露困难但不影响假体安放，行全髋置换术可不取出。 |
| [关键词]:髋臼 骨折 骨关节炎，髋 关节成形术，置换，髋 |
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| Total hip arthroplasty for post-traumatic arthritis after internal fixation of acetabular fracture |
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Abstract:
Objective: To study the clinical outcome of total hip arthroplasty(THA)for traumatic arthritis after acetabular fracture.
Methods: From June 2010 to June 2014,33 hips in 33 patients with traumatic arthritis after acetabular fracture were retrospective analyzed including 21 males and 12 females with a mean age of 44.6 years old. All the patients received THA with bio-prostheses. Harris score was used to evaluate the hip function of patients before and after operation, the X-ray was adopted for radiographic evaluation of the hip prosthesis.
Results: All patients were followed up for 7 to 38 months with an average of 21.6 months. The Harris score increased from preoperative 53.6±2.4 to 94.0±3.0 at the final follow-up,the difference was statistically significant(t=55.37,P<0.05). The X-ray evaluation showed the prosthesis was in good position,no loosening of the prosthesis, dislocation and periprosthetic osteolysis.
Conclusion: THA is an effective treatment for the traumatic arthritis after acetabular fracture;internal fixation of acetabular fractures could not be removed if it shows difficult but does not affect the prosthesis placement. |
| KEYWORDS:Acetabulum Fractures Osteoarthritis, hip 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: | 安雪军,宋洁富,魏杰,张宇明,苏云星.全髋关节置换术治疗髋臼骨折内固定术后继发创伤性髋关节炎的疗效观察[J].中国骨伤,2017,30(3):233~235 |
| 英文格式: | AN Xue-jun,SONG Jie-fu,WEI Jie,ZHANG Yu-ming,SU Yun-xing.Total hip arthroplasty for post-traumatic arthritis after internal fixation of acetabular fracture[J].zhongguo gu shang / China J Orthop Trauma ,2017,30(3):233~235 |
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