发育性髋关节脱位行THA后完全负重行走的影响因素分析  

Analysis of Influencing Factors of Full Weight Walking After THA in Developmental Dislocation of Hip

作　　者：周亮 徐洪军[1] ZHOU Liang;XU Hong-jun(Department of Orthopedics,Lianshui People's Hospital,Huai'an 223000,Jiangsu,China;Institute of Orthopedics,the First Affiliated Hospital of Suzhou University,Suzhou 215000,Jiangsu,China)

机构地区：[1]江苏省淮安市涟水人民医院骨科,江苏淮安223000 [2]苏州大学第一附属医院骨科研究所,江苏苏州215000

出　　处：《医学信息》2020年第12期107-109,共3页Journal of Medical Information

摘　　要：目的探讨发育性髋关节脱位(DDH)行全髋关节置换术(THA)后完全负重行走的影响因素。方法回顾性分析2013年1月~2019年6月苏州大学第一附属医院关节外科接受THA治疗的DDH患者108例,比较不同临床特征完全负重行走时间,采用Cox比例风险回归完全负重行走时间的影响因素。结果不同年龄、性别、手术部位、体重指数、吸烟、高血压、糖尿病的术后完全负重行走时间比较,差异无统计学意义(P>0.05);不同患肢较对侧短缩距离、骨质疏松、假体周围关节感染、无菌性松动和股骨截骨术愈合情况的术后完全负重行走时间比较,差异有统计学意义(P<0.05)。Cox单因素分析显示,患肢较对侧短缩>3.0 cm、严重骨质疏松、无菌性松动、假体周围关节感染、股骨截骨不愈合与术后完全负重行走时间相关;Cox多因素分析显示,股骨截骨术的不愈合、患肢较对侧功能性短缩>3.0 cm、无菌性松动、严重骨质疏松和假体周围关节感染是影响术后完全负重行走时间的危险因素。结论DDH患者行DHA后患肢较对侧功能性短缩>3.0 cm、严重骨质疏松、假体周围关节感染、无菌性松动和股骨截骨术的不愈合是影响DDH术后完全负重行走时间的危险因素,应针对以上因素,积极干预,以缩短患者完全负重行走时间。Objective To explore the influencing factors of full weight-bearing walking after total hip arthroplasty(THA)in developmental hip dislocation(DDH).Methods A retrospective analysis of 108 cases of DDH patients who received THA treatment in Joint Surgery Department of the First Affiliated Hospital of Suzhou University from January 2013 to June 2019 was performed to compare the complete weight-bearing walking time with different clinical features,and Cox proportional hazards was used to return the influencing factors of complete weight-bearing walking time.Results There was no statistically significant difference in postoperative weight-bearing walking time between different ages,genders,surgical sites,body mass index,smoking,hypertension,and diabetes(P>0.05);different affected limbs had shorter shortening distances and osteoporosis than the opposite side the comparison of postoperative complete weight-bearing walking time of joint infection around the prosthesis,aseptic loosening and femoral osteotomy healing was statistically significant(P<0.05).Cox univariate analysis showed that the affected limb shortened more than 3.0 cm from the contralateral side,severe osteoporosis,aseptic loosening,joint infection around the prosthesis,and non-union of the femoral osteotomy were related to the time of full weight-bearing walking after surgery;Cox multifactorial Analysis shows that non-union of femoral osteotomy,functional shortening of the affected limb>3.0 cm,aseptic loosening,severe osteoporosis,and joint infection around the prosthesis are risk factors that affect the time of full weight-bearing walking after surgery.Conclusion After DHA,the functional shortening of the affected limb is>3.0 cm,severe osteoporosis,joint infection around the prosthesis,aseptic loosening,and non-union of the femoral osteotomy are the factors that affect the full weight walking after DDH the risk factors of time should be based on the above factors,and actively implement intervention measures to shorten the time for patients to walk with fu

关 键 词：发育性髋关节脱位 全髋关节置换术 完全负重行走时间 

分 类 号：R684.7[医药卫生—骨科学]