不同髋疾病全髋置换术后近期疗效观察

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1、第三军医大学硕士学位论文ComparisonofTheTherapeuticEffectsofTotalHipReplacementinDifferentHipJointDiseasesAbstractBackgroundandpurpose：Thestabilityandgoodthree-axismovementofhumanhipjointare，essentialelementstocompletethefunctionoflowerextremities．Manydiseasescouldcausemalfunctionofhipjoin

2、t．TotalHipReplacement(THR)ispresentlyoneofthemosteffectivesurgeriestoIeconst僦tthestabilityandmobilil【y研hip3西嫩，relievepainandrectifymalformation．SincetheSuccessof62casesofTHRbyChamleyin1963withwhichmodernTHRhadbegan．theprogressofresearchworkonhipjointbiomechanics，prostheticmate

3、rial，producingtechnique，fixationmethodandimplantationskillhadallcontributedtotheimprovementoftherapeuticeffectofTHRandhighsurvivalrateoftheprosthesis．THRalsoprovidedgoodtherapeuticeffectinmanyotherhipjointdiseases．Althoughtheindicationshadincreasedaccordingtotheadvancementofpr

4、ostheticdesignandsurgicaltechnique,thesurvivalrateofprosthesisstillcouldnotmeetclinicalneed．ManyjointsurgeonsemphasizethatTHRshouldbelimitedtotherelativelyolderpeoplewhohasinsufferablepainorSeVerehipjointmalfunctionwhichcouldnotberelievedorreconstructedbyothersurgeries，Femoral

5、neckfracture，osteoarthritis，rheumatoidarthritisandankylosis，malformation，tumorofhipareallindicationsofTHR．Butreportsaboutthediffcrcncesoftherapeuticeffectsinthesehipdiseasesareveryrare．Insomefollow-upstudies，theincidenceofcomplicationsofTHRwasSOhighthatthetherapeuticeffectofTH

6、Rwasgreatlyaffected．Soithasimportantinstructivemeaningtoactualizetheregisterandfollow-upsystemofTHRfortheimprovementofthetechniqueofsurgery,choiceandsurvivalrateofprosthesis，decreaseofcomplicationsandprognosisofthetreatment．Thepurposeofthestudyistoanalyzethefollow-upresultsofp

7、rimaryTH&Wi也theuseofHarrishipscore(1969)andclinicalexamination,weevaluatedthetherapeuticeffectofTHRandcomparedtheshort-termtherapeuticeffectofTHRindifferenthipjointdiseasestoprovideprimarygistfortheprognosisoftherapeuticeffectofTHRinthesediseases．MateriaiandMethods：145THRpatie

8、ntswhohadreceivedTHRinourdepartment2第三军医大学硕士学位论文during1997·20