人工髋关节翻修术中骨缺损的个体化重建效果及短期随访分析
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安徽省自然科学基金 (2016J01623)


Analysis of individual reconstruction effect and shortterm followup in bone defects of revision of total hip arthroplasty
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    摘要:

    【摘要】 目的 分析人工髋关节翻修术中骨缺损的个体化重建效果及短期随访结果。方法 选取我院2012年1月~2015年6月收治的行人工髋关节翻修术患者30例作为研究对象,患者均采取个体化重建方法治疗。统计患者髋关节翻修术原因、手术前后疼痛情况及髋关节功能,记录并发症发生情况。结果 无菌性松动为髋关节翻修最常见原因。30例患者中,行人工全髋关节翻修术22例、单独髋臼侧翻修5例、单独股骨侧翻修3例。患者术后半年与1年的VAS评分均低于术前(P<0.05);术后半年与1年的Harris评分均高于术前(P<0.05)。结论 行人工髋关节翻修手术患者可结合骨缺损类型采取个体化重建方式治疗,以缓解患者术后疼痛并改善髋关节功能,均可获得良好短期疗效。

    Abstract:

    【Abstract】 Objective To analyze individual reconstruction effect and shortterm followup results in bone defects of revision of total hip arthroplasty retrospectively. Methods 30 patients received revision of total hip arthroplasty treated in our hospital from January 2012 to June 2015 were selected as the research objects. All the patients received individual reconstruction, reasons of revision hip arthroplasty. The pain before and after the operation, hip joint function were counted. The prevalence of complications were recorded. Results The most common cause of revision hip arthroplasty was aseptic loosening. In 30 cases, there were 22 of revision total hip arthroplasty, 5 cases of single acetabular revision, 3 cases of single femoral revision. VAS scores postoperative 6 months and 1 year were significantly lower than those before the operation (P<005). Harris scores postoperative 6 months and 1 year were significantly higher than those before the operation (P<005). Conclusion Patients treated with revision of total hip arthroplasty can combine type of bone defect, take individual reconstruction treatment, alleviate postoperative pain , improve hip joint function and obtain good shortterm efficacy.

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  • 在线发布日期: 2018-04-18
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