全髋关节置换术后早期脱位的原因分析与治疗  

EARLY DISLOCATION OF TOTAL HIP ARTHROPLASTY:THE CAUSES AND TREATMENTS

作　　者：陈歌[1] 张忠杰[1] 鲁晓波[1] 葛健华 

机构地区：[1]四川泸州医学院附属医院,泸州646000

出　　处：《现代预防医学》2009年第18期3588-3589,共2页Modern Preventive Medicine

摘　　要：[目的]探讨全髋关节置换术后早期脱位的原因和治疗方法。[方法]通过对14例全髋关节置换术后早期脱位患者病历资料的回顾性研究,对脱位原因进行综合性分析。[结果]12例患者存在不同程度的假体位置不良。所有病例均手法复位成功。2例患者采取I期全髋关节翻修手术。12例患者行单纯手法复位治疗,术后采用髋关节支具保护6～8周,但其中3例复位后1～12个月再次脱位。[结论]假体位置不良、软组织张力差和术后不当的功能锻炼是术后脱位的主要因素。治疗时应首先对脱位原因进行综合的判断,以利于制定出正确的治疗方案。[Objective] To search the causes and treatments of early dislocation of total hip arthroplasty. [Methods] 14 cases of early dislocation of THA were reviewed. The data including history and X-ray films were analyzed to detect the position of prostheses and the strength of hip abductor etc. [Results] 12 cases existed implant malposition. All cases were treated successfully by close reduction . In them, 2 cases were performed revision. [Conclusion] Implant malposition, inadequate soft tissue tension and inappropriate exercise were the main causes of dislocation . The correct therapy plan should be made according to the different cause of dislocation of THA.

关 键 词：全髋关节置换术 脱位 

分 类 号：R684[医药卫生—骨科学]