人工全髋置换治疗成人髋臼发育不良合并骨关节炎  

The Treatment of Developmental Dysplasia Hip with Total Hip Replacement

作　　者：庞彤 李泉[1] 梁柱德 宁金沛 

机构地区：[1]广西梧州市红十字会医院骨科,广西梧州543002

出　　处：《实用骨科杂志》2011年第7期587-589,共3页Journal of Practical Orthopaedics

摘　　要：目的探讨人工全髋关节置换术治疗成人髋臼发育不良的方法。方法 2002年5月至2009年1月,对17例21髋成人髋臼发育不良患者,应用人工全髋关节置换术予以治疗。其中男4例,女13例,年龄40~72岁。双髋4例,单髋13例。髋关节脱位按C row e分期,Ⅰ期4髋,Ⅱ期9髋,Ⅲ期7髋,Ⅳ期1髋。结果本组均获随访,随访时间6个月~6年,平均3.2年。采用H arris髋关节评分法进行评分,平均83.4分。结论人工全髋置换是治疗成人髋臼发育不良型骨关节炎的有效方法,但手术较常规置换复杂,宜严格手术适应证。Objective To investigate the treatment of developmental dysplasia hip with total hip replacement.Methods 17 patients with 21 developmental dysplasia hips were treated with total hip arthroplasty.Results 17 cases were followed up,the mean time 3.2 years.Harris hip score averaged 83.4 points.Conclusion Total hip replacement is an effective treatment of adult developmental dysplasia hip with osteoarthritis,but it is more complicated than conventional replacement surgery,surgical indications should be stricter.

关 键 词：髋臼发育不良 人工全髋置换 骨关节炎 

分 类 号：R687.42[医药卫生—骨科学]