全髋关节置换术双下肢长度均衡的临床研究  

The Clinical Study of Total Hip Arthroplasty Length of the Balanced Pairs of Lower Extremities

作　　者：白玉江[1] 孙文才[1] 李晓龙[1] 

机构地区：[1]齐齐哈尔医学院附属第三医院,黑龙江齐齐哈尔161000

出　　处：《中国伤残医学》2010年第4期17-19,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:研究全髋关节置换术双下肢长度均衡的手术方式和临床意义。方法:回顾性分析2007年3月～2009年8月行单侧全髋关节置换手术患者38例,通过术前肢体长度测量及X线片测量制定手术方案,均衡双下肢长度。结果:术后获随访3～24个月。采用Harris评分,术后肢体等长的30例患者平均90.6分,术后肢体不等长的8例患者平均89.4分。结论:术前测量及术中应用综合评价方法,重视软组织平衡技术和下肢长度调节方法,是进一步提高手术效果的关键。Objective：To study the total hip arthroplasty surgical lower limb length of the balanced approach and its clinical significance.Methods：A retrospective study in March 2007 ~ August 2009 underwent unilateral total hip replacement surgery,38 cases by preoperative limb length measurement and X-ray film measurements to plan operations,in order to balance the length of both lower extremities.Results：The patients were followed up from 3 to 24 months.Using Harris scoring,After such a long limb 30 patients an average of 90.6,postoperative limb length inequality in 8 patients an average of 89.4.Conclusion：Preoperative and intraoperative measurement of the application of comprehensive evaluation methods,emphasis on soft tissue balancing technology and lower limb length adjustment method is the key to improve the results.

关 键 词：全髋关节置换术 下肢长度 均衡 

分 类 号：R681.6[医药卫生—骨科学]