文档介绍：保留股骨颈型人工全髋关节置换术25例分析
(作者:___________单位: ___________邮编: ___________)
作者:郑文忠,陈昆,刘爱刚,潘永太,尤瑞金,马国棣,黄令坚,黄春福,黄钿锋,王鸿泰,肖奕增
【摘要】目的探讨保留股骨颈型人工全髋关节置换的治疗价值。方法 2000年9月—2006年12月,我科应用保留股骨颈型人工全髋关节置换治疗髋关节骨关节病25例(30髋),单侧20例,双侧5例。~6年随访,30个人工髋关节临床效果良好。人工髋关节的活动和其后关节功能良好,X线摄片示人工髋关节位置良好,假体无松动和下沉。结论保留股骨颈型人工全髋关节置换符合股骨近端生理顺应性,使假体适应应力分布。防止股骨近端骨质疏松引起假体松动和下沉。同时为今后需要假体翻修提供骨结构基础。
【关键词】全髋关节置换术;保留股骨颈;髋关节;骨关节病
Abstract: Objective To investigate and discuss the clinical es of total hip arthroplasty with preservation of femoral From September 2000 to December 2006, 25 patients (30 hips) consisting of 10 males and 15 females, who were aged from 31 to 56 years (average=47 years), were performed with total hip arthroplasty with preservation of femoral neck. Results All the 25 patients were followed up for -6 year(s). The clinical results were excellent or good. The mobility of the postoperative hips and the consequent functional recovery were excellent, and no prostheses loosening were The preservation of femoral neck in total hip arthroplasty fits in with the pliance of proximal femur, and therefore the prosthesis modates the stress distribution. The operation not only prevents prosthesis loosening but also offers structural basis of bone for hip revision.
Key words: total hip arthroplasty; femoral neck preservation; hip joint; osteoarthrosis
股骨颈位于股骨头与股骨粗隆部间,是股骨近端较