Jumbo臼杯和骨水泥型臼杯在人工髋关节翻修髋臼骨缺损重建术中的应用  

Application of Jumbo cup and cement cup in acetabular bone defect reconstruction after revision of artificial hip joint

作　　者：屈振宁 刘鸽 杜晓斌 李存玉 QU Zhen-ning;LIU Ge;DU Xiao-bin;LI Cun-yu(Department of Orthopedics,the Third Affiliated Hospital of Nanyang Medical College,Nanyang 473000,Henan,CHINA)

机构地区：[1]南阳医专第三附属医院骨科,河南南阳473000

出　　处：《海南医学》2024年第23期3374-3378,共5页Hainan Medical Journal

基　　金：2023年度河南省南阳市科技发展计划项目(编号:23KJGG143)。

摘　　要：目的对比Jumbo臼杯及骨水泥型臼杯在人工髋关节翻修髋臼骨缺损重建术中的应用效果。方法回顾性分析2021年2月至2023年2月于南阳医专第三附属医院行人工髋关节翻修髋臼骨重建的100例患者的临床资料,依据不同翻修方式分组,其中46例采用金属垫块联合骨水泥型臼杯进行翻修者纳入对照组,54例采用金属垫块联合Jumbo臼杯进行翻修者纳入研究组。比较两组患者术后12个月的临床效果、术前及术后12个月的Harris评分及髋关节X线影像学检查结果和术前及术后3个月的视觉模拟评分法(VAS)评分;同时比较两组患者术后12个月内的并发症发生情况。结果术后12个月,研究组患者的治疗优良率为70.37%,明显高于对照组的50.00%,差异有统计学意义(P<0.05);术后12个月,两组患者Harris评分总分与术前比较均增加,且研究组患者的Harris评分总分为(86.79±5.17)分,明显高于对照组的(81.02±4.85)分,差异有统计学意义(P<0.05);术后12个月,两组患者股骨偏心距与术前比较均增加,且研究组股骨偏心距为(46.99±6.72)mm,明显高于对照组的(43.70±6.25)mm,差异均有统计学意义(P<0.05);术后12个月,两组患者旋转中心高度与术前比较均降低,且研究组患者的旋转中心高度为(2.31±0.27)cm,明显低于对照组的(2.69±0.30)cm,差异均有统计学意义(P<0.05);术后12个月,两组患者髋臼外展角与术前比较均缩小,差异有统计学意义(P<0.05),但两组患者术后12个月的髋臼外展角比较差异无统计学意义(P>0.05);术后3个月,两组患者VAS评分与术前比较均下降,差异有统计学意义(P<0.05),但两组患者术后3个月的VAS评分比较差异无统计学意义(P>0.05);术后12个月内,研究组和对照组患者的并发症总发生率分别为9.26%、8.70%,差异无统计学意义(P>0.05)。结论Jumbo臼杯在人工髋关节翻修髋臼骨缺损重建术中的临床效果优于骨水泥型臼杯,更有利于改善患者髋�Objective To compare the application effect of Jumbo cup and cement cup in acetabular bone defect reconstruction after revision of artificial hip joint.Methods A retrospective analysis was performed on the clinical data of 100 patients who underwent acetabular bone reconstruction with artificial hip joint revision in the Third Affiliated Hospital of Nanyang Medical College from February 2021 to February 2023.The patients were grouped according to different revision methods,among which,46 patients who underwent revision with the metal pad combined with the cemented acetabular cup were included in the control group,and 54 who underwent renovation with metal pad combined with Jumbo cup were included in the study group.The clinical results after 12 months postoperatively,Harris scores and X-ray results of the hip joint before and after 12 months of surgery,and Visual Analogue Scale(VAS)scores before and after 3 months of surgery were compared between the two groups.The incidence of complications at 12 months postoperatively was compared between the two groups.Results Twelve months after operation,the excellent and good rate of treatment in the study group was 70.37%,which was significantly higher than 50.00%in the control group(P<0.05).Twelve months after operation,the total Harris score in the two groups increased significantly compared with that before operation,and the score in the study group was(86.79±5.17)points,which was significantly higher than(81.02±4.85)points in the control group,with statistically significant differences(P<0.05).Twelve months after the operation,the femoral eccentricity of the two groups increased compared with that before operation,and the femoral eccentricity of the study group was(46.99±6.72)mm,which was significantly higher than(43.70±6.25)mm of the control group,with statistically significant differences(P<0.05).Twelve months after operation,the height of rotation center in both groups decreased significantly compared with that before operation,and the height in the study group

关 键 词：髋臼 骨缺损 Jumbo臼杯 骨水泥型臼杯 人工髋关节 翻修 疗效 

分 类 号：R687.4[医药卫生—骨科学]