摘要
Abstract
Objective:To analyze and prevent postoperative dislocation after total hip arthroplasty.Methods:408 patients (448hips) were collected from Jan 2004 to Jan 2014,which involved males 211(234 hips),female 197 (214 hips).There were 15 patients developed into dislocation.The influence and therapeutic principle of the dislocation were discussed through retrospective investigation.Results:There were 15 cases had dislocation,the rate was 3.3%,5 cases were anterior dislocation ,10 cases were posterior dislocation.25 patients were revision cases, among them 3 cases developed into dislocation, the rate was 12%.One case had mental disease;Four patients once had hip surgery;Six cases the position of prosthesis were not beautifull or some osteophyte around the acetabulum;Four cases of patients with postoperative squats or other action.All of the 15 cases were manual reduction in anesthesia, with skin traction 6 weeks.Ten cases were sucess;One case dislocate after 6 month;5 cases had to surgery, function of postoperative patients all recovered well.Conclusion:There were many factors influencing the postoperative dislocation after THA, which include the three points: the patient's condition, the doctor's factors, the design of the prosthesis.Of course, Sometimes these aspects could be all exist.Therefore, we could achieve better effect only through a comprehensive understanding the cause of the patients with dislocation.关键词
人工全髋关节置换/脱位/治疗与预防Key words
Hip arthroplasty/Dislocation/Treatment and prevention分类
医药卫生
