全髋关节置换术后早期脱位及处理的新方法(附全髋关节置换300例早期脱位3例报告)  

Postoperative early dislocation of total hip joint replacement and new treatment.

作　　者：杨静[1] 王国庆[1] 沈彬[1] 王光林[1] 屠重棋[1] 裴福兴[1] 

机构地区：[1]华西医科大学附属第一医院,四川成都610041

出　　处：《四川医学》2001年第9期816-817,共2页Sichuan Medical Journal

摘　　要：目的　探讨全髋关节置换术后早期脱位的原因及处理的新方法。方法　回顾性总结近年本院全髋关节置换术病人早期脱位的原因及处理的新方法。结果　 30 0例全髋关节置换病例中有 3例发生术后早期脱位 ,无因假体位置不良行翻修术者。脱位病例经树脂绷带短腿髋关节外展支具固定 3周未再发生脱位。结论　术后早期脱位是全髋关节置换术早期的第二大并发症。若假体位置安放正确 ,采用树脂绷带短腿髋关节外展支具固定髋关节是一种好方法。假体位置不正确 。Objective To analyze the causes of early dislocation of total hip joint replacement and introuduce a new treatment method.Methods This study was conducted by retrospectively analyzing the causes and new treatment of early dislocation in the recent cases of total hip joint replacement in the First University Hospital.Results In the three hundred cases of total hip joint replacement,early dislocation occurred in only three cases,no cases needed early revision.Conclusion Early dislocation is the second complication in the early stage of total hip joint replacement.If the dislocation happens exacetly on the position of the prosthesis,making use of the short leg resin bandage abductor brace to fix the hip joint is a good alternative.Malposition of the prosthesis often results in early dislocation after total hip joint replacement;it is the main cause of early revision.

关 键 词：髋关节脱位 全髋关节置换 治疗 早期脱位 

分 类 号：R687.4[医药卫生—骨科学]