全髋关节翻修术中对髋臼骨缺损的处理  

Treatment of Acetabular Bone Defects in Revision Total Hip Arthroplasty

作　　者：朱祖巍[1] 胡华清[1] 刘俊涛[1] 

机构地区：[1]福建医科大学附属宁德市医院骨二科,福建宁德352100

出　　处：《中国卫生标准管理》2016年第23期47-49,共3页China Health Standard Management

摘　　要：目的 探讨全髋关节翻修术中髋臼骨缺损的处理。方法 对2013年5月~2016年5月收治的11例需髋关节翻修的病例资料进行分析总结。结果 术后复查X线片显示假体位置良好;随访X线片显示髋臼加强环罩及髋臼假体位置良好,自体髂骨、同种异体骨与宿主骨融合良好,未见明显骨吸收,未见假体松动及移位。结论 根据髋臼骨缺损情况决定植骨方式,尽量选择生物型髋臼假体,非包容性B型骨缺损,应选用加强环重建髋臼,水泥型假体固定。Objective To investigate the treatment ofacetabular defects in total hip arthroplasty. Methods From May 2013 to May 2016, 11 patients with revision of hip joint were reviewed and analyzed. Results The postoperative X-ray examination showed that the p, rosthesis position is good, tbllow-up X-ray shoxxed the acetabular reinforcement ring cover and acetabular prosthesis position is good, autogenous iliac bone, allograft bone and host bone fusion, no obvious bone resorption, no loosening and shifting. Conclusion Acetabular bone defect should be decided according to the situation of acetabular bone defect. Biologic acetabular prosthesis and non-inclusive B-type bone defect should be selected as far as possible.

关 键 词：髋臼 骨缺损 假体 

分 类 号：R687.4[医药卫生—骨科学]