| CroweⅡ和Ⅲ型发育性髋关节发育不良髋臼重建的研究现状 |
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Received:October 20, 2020
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| 作者 | Author | 单位 | Unit | E-Mail |
| 文兴贵 |
WEN Xing-gui |
吉林大学中日联谊医院, 吉林 长春 130033 |
Department of Orthopaedics, China-Japan Union Hospital of Jilin University, Changchun 130033, Jilin, China |
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| 窦一鸣 |
DOU Yi-ming |
天津大学天津医院, 天津 300072 |
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| 沈先月 |
SHEN Xian-yue |
吉林大学第二医院, 吉林 长春 130041 |
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| 唐金烁 |
TANG Jin-shuo |
吉林大学中日联谊医院, 吉林 长春 130033 |
Department of Orthopaedics, China-Japan Union Hospital of Jilin University, Changchun 130033, Jilin, China |
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| 肖建林 |
XIAO Jian-lin |
吉林大学中日联谊医院, 吉林 长春 130033 |
Department of Orthopaedics, China-Japan Union Hospital of Jilin University, Changchun 130033, Jilin, China |
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| 高忠礼 |
GAO Zhong-li |
吉林大学中日联谊医院, 吉林 长春 130033 |
Department of Orthopaedics, China-Japan Union Hospital of Jilin University, Changchun 130033, Jilin, China |
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| 左建林 |
ZUO Jian-lin |
吉林大学中日联谊医院, 吉林 长春 130033 |
Department of Orthopaedics, China-Japan Union Hospital of Jilin University, Changchun 130033, Jilin, China |
zuojl@jlu.edu.cn |
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| 期刊信息：《中国骨伤》2022年35卷，第1期，第75-79页 |
| DOI：10.12200/j.issn.1003-0034.2022.01.015 |
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| 发育性髋关节发育不良因其往往造成严重髋关节炎影响髋关节功能而成为目前全髋关节置换手术的一大病因。因其特殊的髋臼形态使得在为此类患者进行全髋关节置换时髋臼的重建成为一直以来讨论的重点问题。尤其是在分型为CroweⅡ、Ⅲ型的髋臼中，由于股骨头的脱位造成真臼上方的骨缺损导致在真臼处重建髋臼时臼杯的稳定性必将受到影响。许多髋臼重建方法，如髋臼周围结构植骨、小臼杯的使用、髋臼内移、高髋中心技术被用于增加臼杯宿主骨覆盖。但各种方法均各有不可忽视的缺点，以至于目前对于CroweⅡ、Ⅲ型髋关节发育不良的髋臼重建方法尚未有统一的结论，本文结合髋关节发育不良的髋臼发育形态对各种重建方法进行总结分析，并提出今后研究方向。 |
| [关键词]:髋脱位,先天性 修复外科手术 骨移植 综述 |
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| Research status of acetabular reconstruction in Crowe type Ⅱ and Ⅲ developmental dysplasia of the hip |
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| Abstract:Developmental dysplasia of the hip (DDH) is a major cause of hip arthritis and ultimately total hip arthroplasty. Due to the dysplastic acetabulum,how to place the acetabular cup becomes a challenge in acetabular reconstruction for such patients. Especially in the acetabula classified as Crowe typeⅡand type Ⅲ,the dislocation of the femoral head causes bone defects above the true acetabulum,which will affect the stability of the acetabular cup when the acetabular reconstruction is performed at the true acetabulum. Many acetabular reconstruction methods such as bone grafting,the use of small acetabular cups,socket medialization technique,and high hip center technique are used to increase the host bone coverage of the cup. However,each method has its own shortcomings that can not be ignored so that there is no unified conclusion on the acetabular reconstruction methods for Crowe typeⅡand type Ⅲ hip dysplasia. This article summarized and evaluated various reconstruction methods in combination with the acetabular morphology of DDH,and put forward the research direction in the future. |
| KEYWORDS:Hip dislocation,congenital Reconstructive surgical procedures Bone transplantation Review |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 文兴贵,窦一鸣,沈先月,唐金烁,肖建林,高忠礼,左建林.CroweⅡ和Ⅲ型发育性髋关节发育不良髋臼重建的研究现状[J].中国骨伤,2022,35(1):75~79 |
| 英文格式: | WEN Xing-gui,DOU Yi-ming,SHEN Xian-yue,TANG Jin-shuo,XIAO Jian-lin,GAO Zhong-li,ZUO Jian-lin.Research status of acetabular reconstruction in Crowe type Ⅱ and Ⅲ developmental dysplasia of the hip[J].zhongguo gu shang / China J Orthop Trauma ,2022,35(1):75~79 |
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