Tri-lock骨保留型股骨柄与Corail股骨柄假体在全髋关节置换术中的疗效评价  

Efficacy evaluation of Tri-lock bone preservation stem and Corail femoral stem prosthesis in total hip arthroplasty

作　　者：杨飞 YANG Fei(Articular Surgery,Chinese Medicine Hospital of Leshan City Proper,Leshan,Sichuan 614000,China)

机构地区：[1]乐山市市中区中医医院关节外科,四川乐山614000

出　　处：《现代医学与健康研究电子杂志》2022年第14期27-30,共4页Modern Medicine and Health Research

摘　　要：目的对比Tri-lock骨保留型股骨柄(Tri-lock BPS)与Corail股骨柄假体在全髋关节置换术中的应用疗效,分析其对患者髋关节功能恢复的影响。方法回顾性分析2017年7月至2019年5月于乐山市市中区中医医院进行全髋关节置换术的79例患者的临床资料,根据假体的不同分为Tri-lock BPS组[33例(33髋),术中应用Tri-lock BPS假体]和Corail组[46例(46髋),术中应用Corail股骨柄假体],均于术后随访12个月。比较两组患者围手术期指标,术前、术后2周双下肢长度差,股骨小转子最宽部骨量保留面积及大小转子间骨量保留体积,术前、术后12个月Harris功能评分,术后并发症发生情况。结果两组患者手术时间、术中出血量、术后引流量及术后并发症总发生率比较,差异均无统计学意义(均P>0.05);Tri-lock BPS组患者股骨小转子最宽部骨量保留面积及大小转子间骨量保留体积均显著高于Corail组(均P<0.05);术后2周两组患者双下肢长度差均显著低于术前,但组间比较,差异无统计学意义(P>0.05);与术前比,术后12个月两组患者疼痛、功能、畸形、关节活动度及Harris功能总分均显著升高,但组间比较,差异均无统计学意义(均P>0.05)。结论Tri-lock BPS假体与Corail股骨柄假体在全髋关节置换术中均有较好的稳定性及安全性,但Tri-lock BPS假体有助于保留更多的骨量。Objective To compare the application efficacy of Tri-lock bone preservation stem(Tri-lock BPS)and Corail femoral stem prosthesis in total hip arthroplasty,to analyze the effect on the recovery of hip joint function of patients.Methods The clinical data of 79 cases patients who underwent total hip arthroplasty in Chinese Medicine Hospital of Leshan City Proper from July 2017 to May 2019 were retrospectively analyzed.According to the different of prosthesis,they were divided into the Tri-lock BPS group[33 cases(33 hips),using Tri-lock BPS prosthesis during the operation]and the Corail group[46 cases(46 hips),using Corail femoral stem prosthesis during the operation],all patients were follow-up for 12 months after operation.The perioperative indicators,length difference of double lower limbs before operation and 2 weeks after operation,bone mass preservation area of the broadest part in femur lesser trochanter and bone mass preservation volume between femur lesser and greater trochanter,the Harris functional score before operation and 12 months after operation,the incidence of postoperative complications of patients in the two groups were compared.Results There was no statistical significance in the difference of operation time,intraoperative blood loss,postoperative drainage volume and total incidence of postoperative complications of patients between the two groups(all P>0.05);the bone mass preservation area of the broadest part in femur lesser trochanter and bone mass preservation volume between femur lesser and greater trochanter in the Tri-lock BPS group were significantly higher than those in the Corail group(all P<0.05);two weeks after operation,the length difference of double lower limbs in the two groups were significantly lower than that before operation,but there was no statistical significance between the two groups(P>0.05);compared with before operation,the scores of pain,function,deformity,joint range of motion and Harris function total score of patients in the two groups 12 months after operation incr

关 键 词：全髋关节置换术 Tri-lock骨保留型股骨柄 Corail股骨柄假体 髋关节功能 

分 类 号：R682.6[医药卫生—骨科学]