中国组织工程研究与临床康复2011，Vol.15Issue(43)：8034-8037,4.DOI:10.3969/j.issn.1673-8225.2011.43.014
大直径金属-金属全髋关节置换的早期疗效
Short-term outcome of metal-on-metal total hip arthroplasty with large diameter head
袁东堂 1左文山 1刘开样 1戴志唐 1徐用亿1
作者信息
- 1. 南京医科大学附属淮安第一医院,江苏省淮安市,223300
- 折叠
摘要
Abstract
BACKGROUND: Dislocation after total hip replacement is still one of the mam complications of traditional metal-on-polyethylenetotal hip replacement. Melal-on-metal lolai hip arthroplasty with large diameter head has a good stability, suitable for young andactive patients with higher requirement of movement.OBJECTIVE: To evaluate the short-term therapeutic effect of total hip arthroplasty with metal-on-metal bearings and largediameter head hip prosthesis.METHODS: A retrospective analysis was done in 48 patients (54 hips) with advanced stage hip disease treated by primary totalhip arthroplasty with metal-on-metal bearings and large diameter head hip prosthesis. The mean diameter of femoral headprosthesis was 44 mm (38 to 48 mm). The postoperative short-term effect was evaluated with Harris scores and X-ray plain.RESULTS AND CONCLUSION: Ail patients received the foliow-up of 18 to 36 months. The mean Harris hip score was 93.6 (91 to96) at the last follow-up. Trie mean range of hip motion was 232.6° (182° to 257°) at the last follow-up. There were no infection, nohip and thigh pain, no vessel and nerve complications, no dislocation. Posl-opretive X-ray plain revealed fine position of theprostheses without any loosening. Short-term results show that large diameter metal-on-metal total hip arthroplasty hasadvantages of lower wearing, large range of motion and few dislocations.关键词
大直径头/金属-金属/髋关节置换/假体/Harris评分分类
医药卫生引用本文复制引用
袁东堂,左文山,刘开样,戴志唐,徐用亿..大直径金属-金属全髋关节置换的早期疗效[J].中国组织工程研究与临床康复,2011,15(43):8034-8037,4.
