自体股骨头植骨联合非骨水泥型髋臼重建术治疗合并髋臼内陷的类风湿性髋关节病变的临床疗效  

Efficacy of total hip arthroplasty combined with autogenous bone graft in the treatment of rhematoid arthritis induced acetabular protrusion

作　　者：王振[1] 郑稼[1] 金毅[1] 陈骁[1] 赵永强[1] 

机构地区：[1]河南省人民医院骨科,河南郑州450003

出　　处：《临床研究》2017年第5期31-32,共2页Clinical Research

摘　　要：目的 评价应用自体股骨头植骨联合非骨水泥型髋臼重建治疗合并髋臼内陷的类风湿性髋关节病变的临床疗效.方法 对我院收治的28例（34髋）合并髋臼内陷的类风湿性髋关节病变患者,采用自体股骨头植骨联合非骨水泥型髋臼重建进行人工髋关节置换.置换后平均随访（73.0＆#177;7.6）个月.比较术前、术后髋关节Harris评分、ADL日常生活能力评分及髋关节屈曲、外展活动度及术后植骨愈合情况,髋臼内陷恢复情况.结果 本组所有患者均获得随访.至末次随访时,患者Harris评分、ADL日常生活评分、屈曲活动度、外展活动度、股骨头中心到Kohler＆#39;s线的距离均得到不同程度的提升,手术前后比较差异有统计学意义（P〈0.05）.结论 应用自体股骨头移植联合非骨水泥型髋臼重建治疗合并髋臼内陷的髋关节疾病能有效恢复髋关节活动中心,重建髋关节功能,临床疗效满意.Objective To discuss the clinical efficacy of total hip athroplasty combined with autogenous bone graft in the treatment of rhematoid arthritis induced acetabular protrusion. Methods Thirty-four hips in twenty-eight patients with rheumatoid arthritis induced acetabular protrusion were involved. The patients all received autogenous bone graft during total hip arthroplasty. All the patients were followed up for （73.0_＋7.6） months. And then the Harris score, ADL score, inflection angle, abduction angle, and postoperative healing of bone graft, acetabulum invagination recovery were compared before and after surgery. Results All patients were followed up. At the end of the follow-up, patients with Harris score, ADL score, daily life flexion, abduction, femoral head center to the Kohler＇s line distance had varying degrees of improvement, and the differ- ences were statistically significant （P〈0.05）. Conclusion Total hip arthroplasty combined with autogenous bone graft in the treatment of rhematoid arthritis induced acetabular protrusion can effectively restore the hip center and reconstruct the hip ruction, which has satisfactory clinical efficacy.

关 键 词：髋臼内陷 类风湿性关节炎 髋关节置换 自体骨移植 

分 类 号：R687[医药卫生—骨科学]