髋臼结构性植骨人工全髋关节置换治疗成人发育性髋关节发育不良39例  

39 Cases of Clinical Observation on Total Hip Replacement with Acetabular Structural Bone Grafting in Treating Developmental Dysplasia of the Hip with Crowe Type Ⅳ

作　　者：孙群周 海洋 王哲 阮成群 陈武林 李光明 侯洪涛 刘又文 陈柯 SUN Qunzhou;HAI Yang;WANG Zhe;RUAN Chengqun;CHEN Wulin;LI Guangming;HOU Hongtao;LIU Youwen;CHEN Ke(Luoyang Orthopedics Hospital of Henan(Henan Orthopedic Hospital),Luoyang 471000,Henan China)

机构地区：[1]河南省洛阳正骨医院/河南省骨科医院,河南洛阳471000

出　　处：《中国中医骨伤科杂志》2022年第1期70-73,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:探讨髋臼结构性植骨人工全髋关节置换(THR)治疗成人CroweⅣ型发育性髋关节发育不良的临床效果。方法:对2010年3月至2019年5月,全髋关节置换术中采用结构性植骨结合非骨水泥臼杯进行髋臼侧重建治疗的39例(44髋)成人CroweⅣ型髋关节发育不良(DDH)患者的临床疗效进行回顾性分析。男6例(6髋),女33例(38髋),平均年龄52岁。术前改良Harris评分平均为(45.5±4.6)分。结果:术后平均随访42个月,末次随访改良Harris评分平均为(90.5±3.2)分。术后髋关节旋转中心平均下移3.4 cm,内移2.6 cm。所有髋臼假体无松动或感染,影像学复查显示臼杯、股骨假体嵌合良好,无松动。所有施行髋臼结构植骨均骨性愈合。结论:自体骨结构性植骨结合非骨水泥臼杯重建CroweⅣ型髋关节发育不良的旋转中心,临床效果满意,是较为理想的治疗方法。Objective:To investigate the clinical efficacy of total hip replacement(THR)with acetabular structural bone grafting in treating developmental dysplasia of the hip with Crowe type Ⅳ.Methods:The clinical data of 39 patients(6 males and 33 females) with Crowe type Ⅳ hip dysplasia from March 2010 to May 2019 treated with THR and acetabular structural bone grafting were retrospectively analyzed,and the average age of patients was 52 years old.The average preoperative Harris score was(45.5±4.6) points.Results:The mean follow-up time was 42 months.The average postoperative Harris score was(90.5±3.2) points.The rotation center of the hip joint moved to the lateral and medial sides,with 3.4 cm and 2.6 cm on average respectively.Imaging results showed that the acetabular cup and femoral prosthesis were well embedded without looseness.All the acetabular bone grafts were healed,and no infection was found.Conclusion:Total hip arthroplasty and acetabular structural bone grafting can be an effective method in treating the high developmental dysplasia of the hip.

关 键 词：髋关节发育不良 全髋关节置换 结构植骨 

分 类 号：R687.4[医药卫生—骨科学]