限制性内衬翻修治疗髋关节置换术后反复脱位的7例报道  

Revision treatment for recurrent dislocation after hip arthroplasty with constrained acetabular liners:a report of 7 cases

作　　者：胥伯勇[1] 郭文涛[1] 穆文博 杨德盛[1] 曹力[1] XU Boyong;GUO Wentao;MU Wenbo;YANG Desheng;CAO Li(Department of Joint Surgery,the First Affiliated Hospital,Xinjiang Medical Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院关节外科,乌鲁木齐830054

出　　处：《新疆医科大学学报》2018年第6期697-701,共5页Journal of Xinjiang Medical University

基　　金：新疆维吾尔自治区自然科学基金(2017D01C285)

摘　　要：目的探讨在人工髋关节翻修术中应用限制性内衬治疗术后反复脱位的短期临床疗效及其可行性。方法回顾性分析新疆医科大学第一附属医院自2011年10月-2013年5月采用限制性内衬翻修治疗髋关节置换术后反复假体脱位的7例患者病例资料,其中男性2例,女性5例,收集患者初次置换前、初次脱位后、翻修术前、翻修术后的Harris评分、髋关节活动度及VAS疼痛。结果所有患者均获随访,随访时间12~36个月,平均24.6个月。至末次随访,所有患者的Harris评分、髋关节活动度及VAS疼痛评分均较翻修术前显著改善。结论使用限制性内衬行髋关节翻修术是治疗髋关节置换术后反复脱位的一种可行方案,早期临床效果良好,但此种方式应作为髋关节置换术后脱位的补充治疗方式,而非常规治疗方式,其长期临床疗效尚需进一步研究证实。Objective To investigate the short-term outcome and feasibility of using constrained acetabular liner in treatment of recurrent dislocation following total hip arthroplasty.Methods We retrospectively analyzed 7 cases who received hip revision with constrained acetabular prosthesis from October 2011 to May 2013.There were 2 males and 5 females.Harris hip score,range of motion of hip joint and visual analog scale pain scores were recorded before the primary hip arthroplasty,before revision hip arthroplasty and at the latest follow-up after revision hip arthroplasty.Results All patients were regularly reviewed with a mean follow-up of 24.6 months（range,12-36 months）.To the latest follow up,all the patients were satisfied.Harris hip score,range of motion of hip joint and visual analog scale pain scores were significantly improved from pre-operatively to post-operatively.Conclusion Application of constrained acetabular liner in revision hip arthroplasty for recurrent dislocation following total hip arthroplasty is a feasible option with satisfying short-term clinical outcome.

关 键 词：限制性内衬 反复脱位 翻修 

分 类 号：R684[医药卫生—骨科学]