全髋关节置换术治疗感染致髋关节骨关节病的效果观察  

Effects of total hip arthroplasty on hip osteoarthropathy caused by infection

作　　者：陶崎峰[1] 陈春雨 吴飞鹏[1] 兰玉平[1] Tao Qifeng;Chen Chunyu;Wu Feipeng;Lan Yuping(Department of Orthopaedics of Central Hospital of Panzhihua City,Sichuan,617067,China)

机构地区：[1]四川攀枝花市中心医院骨科,四川攀枝花617067

出　　处：《西南国防医药》2018年第6期550-553,共4页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的探讨全髋关节置换术(THA)治疗感染致髋关节骨关节病的效果。方法回顾性分析髋部感染导致的髋关节骨关节病患者17例,年龄34~54(40.59±4.82)岁,均行THA治疗,术后随访41~80(54.29±9.25)个月。结果术前下肢缩短(2.68±1.85)cm,且均有双下肢不等长,术后下肢缩短改善至(0.44±0.90)cm;术前Harris评分为(52.82±12.70)分,术后提高至(88.88±4.79)分,差异均有统计学意义(P<0.05)。随访期间,均未出现假体松动、骨溶解。结论 THA治疗感染致髋关节骨关节病的中远期效果满意,能有效改善髋关节功能。Objective To explore the effects of total hip arthroplasty （THA） in the treatment of hip osteoarthropathy caused by infection. MeAods It was analyzed retrospectively the clinical data of 17 patients with hip joint osteoarthropathy caused by hip infection, aged 34 to 54 （40.59±4.82）years of age, all underwent THA treatment, followed up for 41 to 80 （54.29±9.25） months. Remits The preoperative shortening of the lower extremity was （2.68 ±1.85）cm, and both limbs were unequal, postoperative shortening of the lower extremity was improved to （0.44±0.90） cm; the preoperative Harris score was （52.82±12.70） points, and the postoperative iHarris score was （88.88±4.79） points, the difference was statistically significant （P〈0.05）. No prosthesis loosening and osteolysis occured during follow-up. Conclusion THA is effective in the treatment of hip osteoarthropathy caused by infection, and can effectively improve the function of hip joint.

关 键 词：髋关节 骨关节病 全髋关节置换 疗效 

分 类 号：R687.42[医药卫生—骨科学]