ribbed柄与股骨髓腔匹配关系对假体稳定性影响的研究

《ribbed柄与股骨髓腔匹配关系对假体稳定性影响的研究》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、提要目的：通过临床和影像学随访，分析探讨解剖型非骨水泥固定Ribbed股骨柄假体与髓腔匹配的关系对人工全髋关节置换术的手术疗效的影响。方法：选择从2010年03月至2012年03月，我院骨关节科应用非骨水泥型Ribbed解剖型股骨柄假体实施人工全髋关节置换手术治疗髋关节疾病的患者60例62髋。回顾分析获得随访的60例(62髋)的临床疗效及X线片表现，分为两组，其中A组股骨柄假体中立位30例（32髋），B组股骨柄假体轻度外翻位30例（30髋），临床评估应用Harris髋关节评分系统进行分析。影像学评估根据术后及随访时髋关节正位片，观察股骨柄假体的稳

2、定情况及有无术后并发症。通过两组对比，统计分析，探讨股骨柄假体在临床安装过程中假体中立位与轻度外翻位有无差异。结果：A组患者术前Harris分值平均为33.82分，术后最近随访时Harris分值平均为95.46分，B组患者术前Harris分值平均为33.72分，术后最近随访时Harris分值平均为95.25分，两组均显著高于术前。X线片示两组股骨柄假体均长入良好，稳定性良好。结论：股骨柄假体在临床安装过程中假体中立位与轻度外翻位无明显差异关键词全髋关节置换术；Ribbed柄；中立位；轻度外翻位。Theimpactofthematchingrela

3、tionshipofRibbedstemandthefemoralmarrowcavityonthestabilityofthestemSpeciality:TraditionalChineseOrthopaedicsandTraumatologyAuthor:LiuXiaozhiTutor:Prof.LIJin-songAbstractObjective:Theclinicalandradiologicalfollow-upanalysistoexploretheimpactofthematchingrelationshipofRibbedst

4、emandthefemoralmarrowcavityonthestabilityofthestemintotalhiparthroplastysurgery.Methods:FromMarch2010toMarch2012,the60cases(62hips)patientsofourhospitalJointorthopaedicusedtheanatomiccementlessRibbedstemfortotalhiparthroplastysurgerytreatmentofhipdisease.Retrospectiveanalysis

5、of60cases(62hips)werefollowedupforclinicalefficacyandX-rayfilm,dividedintotwogroups,GroupAofneutralpositionof30cases(32hips),GroupBofthemildvalguspositionof30cases(30hips),clinicalassessmentoftheHarrishipscoringsystem.Theradiographicevaluationaccordingtothepostoperativeandfol

6、low-uphiprayfilms,toobservethestabilityofthefemoralstemprosthesisandpostoperativecomplications.Comparisonoftwogroups,statisticalanalysis,toinvestigatetheneutralpositionandmildvalgusmildvalguspositionoftheprosthesisofthefemoralstemintheinstallationprocessintheclinicalwhetherth

7、edifferences.Results:IngroupApatientswithpreoperativeHarrisscoreanaverageof58.82points,recentfollow-upaftersurgery,theaverageHarrisscoreof95.46points,groupBpatientswithpreoperativeHarrisscoreanaverageof56.72points,thelatestfollow-upaftertheaverageHarrisscore94.25points,bothgr

8、oupsweresignificantlyhigherthanbeforesurgery.X-rayshowedtwosetsoffem