四川医学2024，Vol.45Issue(12)：1317-1322,6.DOI:10.16252/j.cnki.issn1004-0501-2024.12.004
股骨头旋转中心精准重建在人工髋关节置换中的应用价值及术后并发症、疼痛程度的影响
The Application Value of Precise Reconstruction of Rotational Center of Femoral Head in Artificial Hip Replacement and the Influence of Postoperative Complications and Pain Degree
摘要
Abstract
Objective To study application value of precise reconstruction of femoral head rotation center in artificial hip replacement(THR).Methods Total 180 patients with femoral neck fractures who underwent THR treatment in our hospital from May 2021 to May 2022 were randomly divided into two groups,with 90 cases in each group.Control group used conventional tools,while the study group used a femoral head rotation center positioning tool.Perioperative indicators,inflammatory factors[interleu-kin-6(IL-6),tumor necrosis factor-α(TNF-α),C-reactive protein to albumin ratio(CRP/Alb)],hip joint function(HHS score),balance function(BBS score),pain level(VAS score),complications,and acetabular prosthesis position were compared between the two groups.Results The operation time of study group was shorter than that of control group(P＜0.05).At 3 and 7 days after surgery,serum IL-6,TNF-α,and CRP/Alb in study group were lower than those in control group(P＜0.05).At 3 and 6 months after surgery,study group had higher HHS and BBS scores and lower VAS scores than control group(P＜0.05).The inci-dence of postoperative complications in study group was lower than that in control group(P＜0.05).At 6 months after surgery,the acetabular prosthesis abduction angle,femoral offset,and acetabular prosthesis anteversion angle in study group were lower than those in control group(P＜0.05).Conclusion In THR,precise reconstruction of the femoral head rotation center could shorten operation time,reduce inflammatory reactions,alleviate pain,restore hip joint and balance function,improve the position of acetabu-lar prosthesis,and reduce the occurrence of complications.关键词
股骨头旋转中心重建/人工髋关节置换术/炎性因子/髋关节功能/髋臼假体位置/并发症Key words
femoral head rotation center reconstruction/artificial hip replacement/inflammatory factors/hip joint func-tion/position of acetabular prosthesis/complications分类
医药卫生引用本文复制引用
谈志俊,张濒,史法见..股骨头旋转中心精准重建在人工髋关节置换中的应用价值及术后并发症、疼痛程度的影响[J].四川医学,2024,45(12):1317-1322,6.基金项目
江苏省优势学科建设工程项目(编号:YSHL2105-106) （编号:YSHL2105-106）
