一种提高非骨水泥股骨柄假体中置率的手术技巧  

A New Surgical Technique to Improve the Probability of Femoral Stem Prosthesis Tips in Femoral Stem Central Zones During THA

作　　者：游戊己[1] 冯进益[1] 梁运邦 袁华澄[1] 

机构地区：[1]厦门大学附属第一医院骨科,福建厦门361003

出　　处：《中国卫生标准管理》2016年第15期54-57,共4页China Health Standard Management

摘　　要：目的：探讨全髋关节置换术（THA）中提高非骨水泥股骨柄中置率的手术技巧。方法自2011年1月-2014年2月，对156例髋关节疾病进行非骨水泥型THA治疗患者，分为先扩髓再开槽组及对照组采用传统的先开槽再扩髓，观察术后拍X线片上假体远端髓腔中置率及大腿痛发生率。结果术后X线片发现先扩髓再开槽组股骨柄远端的中置率较对照组高，对比两组之间差异具有统计学意义（P=0.000）。术后2-5年随访大腿前方疼痛发生率较对照组低，对比两者之间差异具有统计学意义（P=0.004）。结论先扩髓再开槽方法可提高股骨假体柄远端的中置率，并减少术后大腿前方疼痛，此方法简单、可靠，无需增加患者住院费用，利于大范围推广。Objective In this study,a new operating procedure to improve the probability of femoral stem prosthesis tips in femoral stem central zones was developed,the clinical outcome was then comapared with that of control group during cemetless total hip arthroplasty（THA）.Methods 156 patients underwent cementless THA from January 2011 to February 2014 were divided into two groups（the reame fluting and the control groups）. Radiology and thigh pain assessments were performed postoperation.ResultsAfter felow-up for（2-5 years）,more middle rates of femoral stem prosthesis and less thigh pain incidences were recorded in the reame fluting group,when compared with the results from control group.ConclusionThe new operating procedure of reaming was able to make prosthesis tips in femoral centeral zones and to reduce the incidences of thigh pain. It is a reliable and easy method for extensive application without additionaly economic costs.

关 键 词：全髋关节置换 假体柄安装 大腿痛 

分 类 号：R683[医药卫生—骨科学]