临床骨科杂志Issue(6)：668-672,5.DOI:10.3969/j.issn.1008-0287.2014.06.019
全髋关节置换治疗创伤性股骨头坏死
Total hip arthroplasty for the treatment of traumatic avascular necrosis of the femoral head
摘要
Abstract
Objective To analyze the outcome of total hip arthroplasty for traumatic avascular necrosis of femoral head ( ANFH) . Methods A retrospective study was made on 30 patients with ANFH who were treated with total hip ar-throplasty. The Harris hip score,VAS score and EQ-5D index score of pre-and post-operation were evaluated and the location of prosthesis by X-ray were assessed. Results All 30 cases were followed up for 8~86(32 ± 4. 3) months. All incisions were healed primarily. There was no prosthesis infection, hip dislocation, and deep vein thrombosis or nerve injury in the follow-up. 1 possible loosing case was found in the 5 cemented ones and bone stability were ob-served in all cementless ones. 1 case was observed Brooker type Ⅰ heterotopic bone without treatment. The Harris hip score of the postoperatively follow-up were mean 92. 00 ± 4. 26(ranged,82~99),the VAS score of the postopera-tively follow-up were mean 0. 98 ± 1. 21(ranged,0~4),the EQ-5D index score of the postoperatively follow-up were mean 0. 82 ±0. 12(ranged,0. 76 ~0. 97). All scores were significantly higher than preoperative ones (P<0. 01). Conclusions Total hip arthroplasty for ANFH can achieve a fine clinical effect.关键词
全髋关节置换术/股骨头坏死/Harris评分Key words
total hip arthroplasty/necrosis of the femoral head/Harris hip score分类
医药卫生引用本文复制引用
胡飞,尚希福,孔荣,禹德万,倪喆..全髋关节置换治疗创伤性股骨头坏死[J].临床骨科杂志,2014,(6):668-672,5.基金项目
安徽高等学校省级科研重点项目(编号:KJ2013A160) （编号:KJ2013A160）
