| 全髋关节置换术治疗强直性脊柱炎晚期髋关节严重畸形 |
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投稿时间：2008-07-12
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| 期刊信息：《中国骨伤》2008年，第21卷，第9期，第654-655页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的：总结全髋人工关节置换术治疗强直性脊柱炎晚期髋关节严重畸形的临床疗效。
方法：随访1992年至2005年采用全髋人工关节置换术治疗强直性脊柱炎晚期严重髋关节畸形33例共计45个髋关节，比较手术前后疼痛指数、畸形角度、关节活动范围、单腿负重能力改变及术后并发症。
结果：27个髋关节术后无疼痛，疼痛指数平均下降1.0级；术髋屈曲畸形角度平均改善44.17°；术后关节活动度平均改善58.4°；31个手术关节可单腿负重。有22个关节出现不同程度股骨头假体下陷，1例患者于假体安装后因暴力复位导致坐骨神经挫伤，术后8个月恢复。
结论：应用全髋关节置换术治疗强直性脊柱炎晚期髋关节严重畸形的中期临床疗效比较满意。 |
| 【关键词】强直性脊柱炎 髋关节 畸形 全髋关节置换术 |
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| Total hip replacement in the treatment of severe deformity of the hip caused by advanced ankylosing spondylitis |
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ABSTRACT
Objective: To evaluate the clinical results of the total hip replacement in the treatment of severe deformity of the hip joint caused by advanced ankylosing spondylitis.
Methods: Forty-five hips with severely deformities in 33 patients suffered from advanced ankylosing spondylitis treated by total hip replacement were followed-up from 1992 to 2005 in our department. The pain index,deformity angle,range of motion of the joint,changes of weight baring capacity of a single leg,and the postoperative complications were compared and analysed in this study.
Results: The pain was complete released in 27 hips after surgery;the average pain index decreased 1 grade. The angle of flexion deformity of hip decreased by 44.17° averagely. The average range of motion of the hip improved 58.4°。 Thirty-one operated hips could bare weight itself. Twenty-two hips occurred prosthesis Sinking of the femur head prosthesis occurred in 22 hips. The sciatic nerve was contused in one case because of violent reduction after the installation of prosthesis,and recovered in 8 months.
Conclusion: The midterm clinical results of total hip replacement in the treatment of severe deformity of hip caused by advanced ankylosing spondylitis is satisfactory. |
| KEY WORDS Ankylosing spondylitis Hip joint Deformity Total hip replacement |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘欣,白人骁.全髋关节置换术治疗强直性脊柱炎晚期髋关节严重畸形[J].中国骨伤,2008,21(9):654~655 |
| 英文格式: | LIU Xin,BAI Ren-xiao.Total hip replacement in the treatment of severe deformity of the hip caused by advanced ankylosing spondylitis[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(9):654~655 |
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