大转子延长截骨在THR术后感染一期翻修中的临床应用  

The Clinical Application of Extended Trochanteric Osteotomy in One-stage Revision for Infected Total Hip Arthroplasty

作　　者：许超[1] 郭永园[1] 孙鹏飞[1] 贾玉华[1] 

机构地区：[1]山东大学齐鲁医院,山东济南250012

出　　处：《医学与哲学（B）》2013年第12期49-51,68,共4页Medicine & Philosophy(B)

基　　金：山东省自然基金;项目编号:ZR2011HM084

摘　　要：评价大转子延长截骨并行单纯钢丝捆扎在人工髋关节置换（THR）术后感染一期翻修中的作用及对翻修假体的影响.选取2010年10月~2013年10月期间30例髋关节置换术后假体感染性松动并行一期翻修术的患者,随访时间（34.8＆#177;13.2）月,对患者手术时间、截骨长度和愈合时间、术前术后Harris评分及术后感染控制情况进行统计.30例患者髋关节术后评分明显高于术前,手术时间为（132.4＆#177;23.6）min,经大转子截骨长度为（11.4＆#177;2.6）cm,截骨愈合时间（3.8＆#177;1.3）个月.术后感染未见复发.因此THR术后感染的一期翻修术中应用大转子延长截骨方法能缩短手术时间,髋关节功能较术前明显改善.To evaluate the effects of extended trochanteric osteotomy in one--stage revision for infected hip arthroplasty, 30 cases of revision THR for infection were selected from October 2010 to October 2013. An average of （34. 8 ± 13. 2） months follow--up was carried out. Operation time, osteotomy length, osteotomy union time pre-- and post--operative Harris score were analyzed. The average Harris hip score after operation was significantly increased compared with preop- eration. The average operation time was （132.4±23.6） minutes, and the average osteotomy length was （11.4±2.6）cm. The average osteotomy union time was （3.8 ±1.3） months. ESR and CRP were normal after operation. Extended troehanteric osteotomy in hip revision surgery can effectively reduce the operation time, and the hip function obviously improved compared with preoperative.

关 键 词：截骨 髋关节置换术 感染 一期翻修 

分 类 号：R687.42[医药卫生—骨科学]