临床骨科杂志2018，Vol.21Issue(2)：163-166,4.DOI:10.3969/j.issn.1008-0287.2018.02.015
非截骨全髋关节置换术治疗单侧CroweⅣ型髋关节发育不良
Total hip arthroplasty with no femoral shortening osteotomy for treatment of unilateral Crowe type Ⅳ developmental dysplasia of the hip
摘要
Abstract
Objective To investigate the clinical efficacy of total hip arthroplasty(THA) with no femoral shortening osteotomy for unilateral Crowe typeⅣdevelopmental dysplasia of hip(DDH). Methods The 15 patients with Crowe type ⅣDDH in one side underwent THA with no femoral shortening osteotomy. During the operation,the THA were performed with requisite soft tissue release,and all the uncemented cups were inserted at the level of true acetabulum but with no femoral shortening osteotomy. The patients′satisfaction,Harris hip score and bilateral leg-length discrep-ancy was used to assess the clinical results. Results All patients were followed up for 3~48 months,no prosthesis loosening or infection and dislocation occurred in the follow-up. The Harris hip score was improved from 25 ~39 (32.8 ± 4.2)preoperatively to 85~93(90.3 ± 2.3)postoperatively, it was shown statistically significant difference (P<0.05).The excellent was in 9 cases and good 3 cases according to the Harris hip score at the last follow-up. The satisfaction of 14 patients was high. The leg-length discrepancy of the bilateral sides was corrected gradually, it was 0~10(5.3 ± 3.9)mm at the last follow-up. One case of sciatic nerve injury had occurred and was recovered completely in 3 months postoperation. Conclusions THA with no femoral shortening osteotomy can achieve good clinical results in patients with unilateral Crowe typeⅣDDH. Compared with subtrochanteric osteotomy,the procedure of no femoral shortening osteotomy is easier technically. However,further follow-up is required to confirm long-term effi-cacy.关键词
髋关节发育不良/人工全髋关节置换/非短缩截骨Key words
developmental dysplasia of hip/total hip arthroplasty/no shortening osteotomy分类
医药卫生引用本文复制引用
梅晓亮,张震祥,唐炬,杜雅晴,朱伟..非截骨全髋关节置换术治疗单侧CroweⅣ型髋关节发育不良[J].临床骨科杂志,2018,21(2):163-166,4.基金项目
国家自然科学基金(编号:81401770) （编号:81401770）
