自体骨植骨在成人先天性髋臼发育不良全髋关节置换术中的疗效分析  

Autogenous bone grafting in total hip arthroplasty for congenital acetabular dysplasia

作　　者：周垂宝[1] 李明[1] 张元凯[1] 

机构地区：[1]山东大学齐鲁医院骨科,济南250012

出　　处：《山东大学学报（医学版）》2012年第11期100-102,共3页Journal of Shandong University:Health Sciences

摘　　要：目的分析成人先天性髋臼发育不良全髋关节置换术中使用自体骨结构性移植重建髋臼的疗效。方法2007年8月至2010年5月手术治疗先天性髋臼发育不良Crow eⅡ、Ⅲ型患者21例(24髋),男3例(3髋),女18例(21髋),行非骨水泥型全髋关节置换术,应用自体股骨头植骨重建髋臼,随访指标为Harris评分和影像学检查。结果 Harris评分统计分析显示,术前与术后差异有统计学意义(P<0.05),移植骨愈合,无移植骨的吸收。结论自体骨结构性植骨在非骨水泥型全髋关节置换治疗先天性髋臼发育不良中有良好疗效。Objective To discuss the effect of the femoral-head autograft in uncemented total hip arthroplasty for congenital acetabular dysplasia.Methods 21 patients（24 hips） with acetabular dysplasia（Crowe type Ⅱ or Ⅲ） from August 2007 to May 2010 received femoral head autograft in cementless total hip arthroplasty for acetabular dysplasia to reconstruct acetabula.Classified Harris Hip Score（CHHS） and imaging examination were used in the follow-up visit.Results There was a significant difference between the pre and post operation according to CHHS（P0.05）.At an average follow-up of 27 months,all the patients had excellent clinical results.Neither acetabular autograft resorption nor non-union was observed.Conclusion Using femoral-head autograft was an effect method in uncemented total hip arthroplasty for the acetabular dysplasia.

关 键 词：骨移植 先天性髋臼发育不良 关节置换 愈合 

分 类 号：R684.3[医药卫生—骨科学]