髋关节置换术后不稳定的原因分析  

Analysis of Unstable Total HIP Joint Arthoplasty Replacement

作　　者：周辉[1] 张政宏[1] 赵万军[1] 韩勇[1] 杨武民[1] 倪飞[1] 

机构地区：[1]浙江省杭州市中医院,杭州310007

出　　处：《中国中西医结合外科杂志》2002年第6期405-405,共1页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的 :研究髋关节置换术后关节不稳定的原因与处理办法。 方法 :观察 44例全髋置换病人手术入路、方式、头与臼的比例、软组织的平衡等与术后不稳定的关系。 结果 :根据患者术后疼痛 ,行走 ,髋关节功能 ,生活工作能力进行评分。优 2 6例 ,良 11例 ,可 6例 ,差 1例 ,优良率 84 1%。 结论 :手术入路、方式、头与臼的比例、软组织的平衡等是术后关节不稳定的重要因素 ,及时、恰当的处理是保证术后关节稳定的重要手段。Objective:To investigate the cause and treatment of unstable total hip joint replacement Methods:the relationship between operative apporach,operative procedure,femoral head and acetabulum fossa ratio,soft tissue balance and postoperative arthroplasty unstability in 44 cases patients was observed and analyzed.Results:Grades in regard to postoperative pain,walking capability,joint function and general living and working capability were recorded.Gradse Ⅰ(excellent)26 cases,grade Ⅱ(good)11 cases,grade Ⅲ(fair)6 cases,grade Ⅳ(poor) l case,the total satisfactory rate was 84.1%.Conclusion:The surgical apporach,operative method,femoral head and fossa ratio,and soft tissue balance were important factors influencing post-replacement unstability.

关 键 词：髋关节置换术 软组织平衡 关节稳定性 脱位 

分 类 号：R687.4[医药卫生—骨科学]