| 陶对陶全髋关节置换在Crowe Ⅳ型髋关节发育不良中的疗效观察 |
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投稿时间：2017-10-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 孙菁阳 |
SUN Jing-yang |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 周勇刚 |
ZHOU Yong-gang |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
zhouyg@263.net |
| 杜银桥 |
DU Yin-qiao |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 朴尚 |
PIAO Shang |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 王森 |
WANG Sen |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 高志森 |
GAO Zhi-sen |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 吴文明 |
WU Wen-ming |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 马海洋 |
MA Hai-yang |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 期刊信息：《中国骨伤》2018年，第31卷，第2期，第124-128页 |
| DOI：10.3969/j.issn.1003-0034.2018.02.006 |
| 基金项目: |
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中文摘要:
目的：观察陶瓷对陶瓷全髋关节置换术（THA）在Crowe Ⅳ型髋关节发育不良（DDH）中的临床应用效果。
方法：回顾性分析2008年4月至2015年12月由同一名高年资医生应用第3代或第4代陶瓷对陶瓷界面对Crowe Ⅳ型DDH行THA患者111例（137髋），单侧85例，双侧26例，年龄18~68（38.88±10.83）岁，随访时间12~96（41.16±21.50）个月。术前及术后随访均拍摄X线片进行观察，并采用Harris评分对临床效果进行评价。观察术后Harris评分的改善，陶瓷碎裂、异响以及脱位等并发症的发生率。
结果：Harris评分由术前56.54±15.67提高至术后88.30±6.86（P=0.017）。未发现假体周围明显骨溶解，无陶瓷碎裂发生。3髋分别因感染、股骨柄松动、下肢不等长翻修；3髋脱位。77例患者记录步态及髋关节活动度，其中69例患者髋关节屈曲可达120°以上。
结论：在Crowe Ⅳ型DDH行THA中应用陶瓷对陶瓷界面可达到较好的临床效果。 |
| 【关键词】髋发育不良,先天性 关节成形术,置换,髋 人工关节 骨界面 |
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| Effect of ceramic on ceramic total hip arthroplasty in Crowe Ⅳ developmental dysplasia of the hip |
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ABSTRACT
Objective: To observe the clinical effect of ceramic on ceramic total hip arthroplasty(THA)in Crowe Ⅳ developmental dysplasia of the hip(DDH).
Methods: From April 2008 to December 2015,137 hips of 111 Crowe Ⅳ DDH patients received THA using Forte or Delta ceramic on ceramic by one senior surgeon,which consists of 85 unilateral hips and 26 bilateral hips. The average age of the patients was(38.88±10.83) years old ranging from 18 to 68 years old. The mean follow-up was(41.16±21.50) months ranging from 12 to 96 months. All the patients were evaluated by Harris Hip Score. Radiographic evaluations were made preoperatively and during follow-up. Harris scores,the incidence of complications such as ceramic fracture,squeaking,dislocation were observed.
Results: The mean preoperative Harris score was 56.54±15.67,the mean postoperative Harris score was 88.30±6.86(P=0.017). Periprosthetic osteolysis was not deteced around any cup. No ceramic fracture occurred. There were 3 cases of revision surgery due to infection,losening of the stem and limb length discrepancy,respectively; 3 cases of dislocation occurred. Seventy-seven patients were recorded the gait and the hip mobility,the hip flexion of 69 patients were above 120 degrees.
Conclusion: Ceramic on ceramic bearing showed an encouraging result in Crowe Ⅳ DDH total hip arthroplasty. |
| KEY WORDS Hip dysplasia,congenital Arthroplasty,replacement,hip Joint prosthesis Bone-implant interface |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 孙菁阳,周勇刚,杜银桥,朴尚,王森,高志森,吴文明,马海洋.陶对陶全髋关节置换在Crowe Ⅳ型髋关节发育不良中的疗效观察[J].中国骨伤,2018,31(2):124~128 |
| 英文格式: | SUN Jing-yang,ZHOU Yong-gang,DU Yin-qiao,PIAO Shang,WANG Sen,GAO Zhi-sen,WU Wen-ming,MA Hai-yang.Effect of ceramic on ceramic total hip arthroplasty in Crowe Ⅳ developmental dysplasia of the hip[J].zhongguo gu shang / China J Orthop Trauma ,2018,31(2):124~128 |
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