中国组织工程研究2017，Vol.21Issue(23)：3634-3639,6.DOI:10.3969/j.issn.2095-4344.2017.23.005
微创短柄Accolade Ⅱ在成人Crowe Ⅰ型发育性髋关节发育不良髋关节置换中的应用
Accolade Ⅱ short stem for Crowe type Ⅰ developmental dysplasia of the hip in adults
宁新创 1倪明 2范利中 1陈继营 2陈贵月 1郭家斌 1李昕 2刘侃2
作者信息
- 1. 山西省长治市人民医院,山西省长治市046000
- 2. 解放军总医院,北京市100000
- 折叠
摘要
Abstract
BACKGROUND:Compared with the cone stem,short stem holds good matching with femoral canal,and remarkably reduces the risk of prosthesis loosening.OBJECTIVE:To further investigate the clinical efficacy of Accolade Ⅱ stem for Crowe type Ⅰ developmental dysplasia of the hip.METHODS:Clinical data of 16 patients with Crowe type Ⅰ developmental dysplasia of the hip undergoing total hip arthroplasty using Accolade Ⅱ stem were collected,the length of both lower limbs before and after surgery was compared,and the Visual Analogue Scale,functional recovery of the hip and general conditions were observed at 12 weeks postoperatively.RESULTS AND CONCLUSION:(1) The change in length of both lower limbs before and after surgery had significant difference (P ＜ 0.05),and 10 patients (62％) with the same length of both lower limbs before surgery,and 15 cases (94％) after surgery.(2) The postoperative acetablar abducent angle was 41°-54° (average 46.9°).(3) The Visual Analogue Scale and Harris hip scores after surgery were significantly improved compared with baseline (P ＜ 0.05).(4) The intraoperative blood loss was 147 mL on average,the mean operation time was 72 minutes,and the hospitalization time was 7.2 days.(5) All patients recovered well and no complications occurred at 3 months postoperatively.(6) To conclude,Accolade Ⅱ stem is safe and reliable for Crowe type Ⅰ developmental dysplasia of the hip,and exhibits good functional recovery of the hip.关键词
骨科植入物/人工假体/髋关节发育不良/AccoladeⅡ/Crowe Ⅰ型/发育性分类
医药卫生引用本文复制引用
宁新创,倪明,范利中,陈继营,陈贵月,郭家斌,李昕,刘侃..微创短柄Accolade Ⅱ在成人Crowe Ⅰ型发育性髋关节发育不良髋关节置换中的应用[J].中国组织工程研究,2017,21(23):3634-3639,6.
