自体股骨头移植重建髋臼治疗髋关节发育不良的中期疗效  

The Mid-term Effect of Autogenous Femoral Head Transplantation and Reconstruction of Acetabulum in the Treatment of Hip Dysplasia

作　　者：吕欣[1] 苏日娜[2] 张志峰[3] 孙智文[1] Luy Xin;Su Rina;Zhang Zhifeng;Sun Zhiwen(Department of Orthopedics,Chifeng Municipal Hospital,Chifeng 024000,China;Department of Anesthesiology,Chifeng Municipal Hospital,Chifeng 024000,China;Department of Joint Surgery,Second Affiliated Hospoital of Inner Mongolian Medical University,Huhhot 010030,China)

机构地区：[1]赤峰市医院骨关节科,内蒙古赤峰024000 [2]赤峰市医院麻醉科,内蒙古赤峰024000 [3]内蒙古医科大学第二附属医院骨关节科,内蒙古呼和浩特010030

出　　处：《实用骨科杂志》2022年第1期16-19,共4页Journal of Practical Orthopaedics

基　　金：内蒙古自治区自然科学基金项目(2020MS08144);实用新型专利:医用股骨距撬板(ZL 201822243096.0)。

摘　　要：目的总结采用自体股骨头移植重建髋臼治疗髋关节发育不良的中期疗效。方法回顾性分析2012年7月至2016年7月内蒙古赤峰市医院骨关节科采用自体股骨头移植重建髋臼行全髋关节置换术治疗的21例髋关节发育不良患者资料。其中男6例,女15例;年龄32~66岁,平均(50.67±8.62)岁。采集患者术前和末次随访时Harris评分。影像学评估包括术前髋关节X线片和末次随访时髋关节X线片,评估人工关节位置和股骨头植骨愈合情况。结果本组21例患者全部获得随访,随访时间为52~96个月,平均(75.05±12.14)个月。术前Harris评分为21~42分,平均(31.33±5.77)分;末次随访时为83~94分,平均(88.81±2.98)分。其中2例患者分别于术后6个月和术后8个月随访时髋关节X线片见股骨头植骨处骨吸收,但是髋臼假体位置及骨长入良好。结论采用自体股骨头移植重建髋臼行全髋关节置换术治疗髋关节发育不良中期疗效满意,未见假体松动等相关并发症。Objective To summarize the mid-term efficacy of autogenous femoral head transplantation to reconstruct the acetabulum in the treatment of hip dysplasia.Methods Data of 21patients with hip dysplasia treated with autogenous femoral head transplantation to reconstruct the acetabulum and total hip arthroplasty in the Department of Joint Surgery of Chifeng Hospital from July 2012to July 2016was retrospectively analyzed.Among them,there were 6males and 15females,aged from 32to 66years old,with an average age of(50.67±8.62)years.The Harris scores were collected before surgery and at the last follow-up.The imaging evaluation included preoperative X-rays of the hip joints and X-rays of the hips at the last follow-up to assess the position of the artificial joint and the healing of the femoral head bone graft.Results All 21patients in this group were followed up.The follow-up time ranged from 52to 96months,with an average of(75.05±12.14)months.The preoperative Harris score was 21~42 points,with an average of(31.33±5.77)points,and at the last follow-up,it was 83~94points with an average of(88.81±2.98)points.Two of the patients showed bone resorption at the femoral head bone graft on hip X-rays at 6 months and 8 months after surgery,but the position of the acetabular prosthesis and bone ingrowth were good.Conclusion The use of autogenous femoral head transplantation to reconstruct the acetabulum and total hip replacement in the treatment of hip dysplasia has a satisfactory mid-term effect,and there are no related complications such as prosthesis loosening.

关 键 词：髋关节发育不良 股骨头 关节成形术 全髋关节置换术 

分 类 号：R681.1[医药卫生—骨科学]