关节成形术_____关节成形术；_强直性脊柱炎；

人工全髋关节置换术治疗56例强直性脊柱炎的临床研究

http://www.100md.com 《中国矫形外科杂志》 2006年第9期

关节成形术,,关节成形术；,强直性脊柱炎；,髋关节,摘要,关键词,1资料和方法,2结果,3讨论,参考文献

     摘要：[目的]探讨人工全髋关节置换术治疗强直性脊柱炎的疗效。[方法]对56例(98髋)强直性脊柱炎患者行人工全髋关节置换术，其中42例(76髋)进行了平均56(25～105)a的随访。[结果]至末次随访时，Harris评分由术前的平均268(4～51)分提高到了术后的平均852(55～94)分，优良率为895%。1例感染行Ⅱ期翻修；2例在扩髓时出现股骨颈或股骨距裂缝骨折，但未到达小粗隆以下，未予特殊处置；1例出现足下垂，术后3个月后恢复，1例深静脉血栓，余病例无假体松动、断裂以及脱位发生。异位骨化发生率92%(7髋)，但对功能无明显影响。[结论]人工全髋关节置换术治疗强直性脊柱炎可以明显缓解髋关节疼痛，恢复关节功能，与其它病因的全髋关节置换术相比，并无较高的危险因素。

    关键词：关节成形术；强直性脊柱炎；髋关节

    Clinical study of total hip arthroplasty in treating 56 cases with ankylosing spondylitis∥CUI Xu,ZHANG Boxun，LI Jingdong,et alDepartment of Orthopaedics,General Hospital of Chinese Peoples Liberation Army,Beijing 100853

    Abstract：[Objective]To probe the efficacy of total hip arthroplasty(THA)in the treatment of patients with ankylosing spondilitis(AS)[Method]Ninetyeight THA were performed in 56 patients who had AS,and 42 patients(76 hips)were analyzed retrospectively with an average followup period of 56 years(ranged,25 to 55 years)The clinical results were evaluated by the Harris hip scoring system and radiographic analysis[Result]For the latest followup,the average Harris hip score improved from 268 points(ranged,4 to 51 points)preoperatively to 852 points(ranged,55 to 94 points)at the final postoperatively evaluation895% of the patients had an excellent or good results evaluated by Harris hip scoring system postoperativelyOne patient was revised for infection,fissured fracture of neck of femur or calcar femorale above the lesser trochanter happended in two patients,one patient had footdrop and recovered 3 months later,1 patient had deep vein thrombosisThere was no sign of loosening,dislocation or fracture of the prosthesisAccording to the system of Brooker,the incidence of heterotopic ossification was 92 %(7 hips)[Conclusion]THA can greatly relieve the pain of the patients who have AS and reconstruct the function of hip jointCompared with THA operated for other cause of disease,THA in AS leads to no high risk ......

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