两种髋关节后方关节囊重建法的对比研究  

Comparison of Two Methods of Posterior Capsule Reconstruction upon Post-operative Hip Dislocation following Primary Total Hip Arthroplasty

作　　者：沈宁江[1] 周钢[1] 王广积[1] 林坚平[1] 黎早敏[1] 林庆彪[1] 

机构地区：[1]海南省人民医院骨科中心,海南海口570311

出　　处：《实用骨科杂志》2015年第1期9-11,共3页Journal of Practical Orthopaedics

摘　　要：目的探讨两种髋关节后方关节囊重建方法对于全髋关节置换(total hip arthroplasty,THA)术后脱位的预防作用。方法 703例THA术按照有无进行髋关节后方关节囊修复重建分组进行统计分析。A组:398例,不修复后方关节囊;B组:179例,将后方关节囊和短外旋肌群缝合至短外旋肌在股骨大转子附着处;C组:126例,将后方关节囊和短外旋肌群经骨道缝合至股骨大转子上。结果 A组、B组和C组术后脱位率分别为7.04%、3.35%和0。C组的术后脱位率低于B组(P<0.05),而B组的术后脱位率低于A组(P<0.05)。结论两种后方关节囊修复方法均能有效预防全髋关节置换术后髋关节脱位,而经骨道缝合的方法能更可靠地恢复髋关节后方稳定性。Objective To Compare the two methods of posterior capsule reconstruction upon post-operative hip dislocation following primary total hip arthroplasty. Methods 703 cases of primary total hip arthroplasty were divided into three groups according to the posterior capsule reconstruction methods, and the postoperative hip-dislocation rates were calculated respectively. There were 398 cases without the posterior capsule repair in Group A. The 179 cases in Group B were repaired by sewing the posterior capsule to the short external rotator muscles insertion site on the trochanter. The posterior capsules of 126 cases in Group C were sutured to the trochanter by the holes passing through it. Results The rate of postoperative hip-dislocation in the Group A,B and C was 7.04% ,3.35% and 0 respectively. The rate of postoperative hip-dislocation in the Group C was lower than in the Group B （P 〈 0.05 ）, and the rate of postoperative hip-dislocation in the Group B was lower than in the Group A （ P 〈 0.05 ）. Conclusion The two methods can both effectively reduced the postoperative hip-dislocation rate, but the reconstruction by the suturing the posterior capsule to the trochanter by the holes passing through it was more stronger and dependable.

关 键 词：关节囊 修复 全关节置换术 髋关节术后脱位 

分 类 号：R685[医药卫生—骨科学]