中国骨伤2026，Vol.39Issue(7)：704-709,6.DOI:10.12200/j.issn.1003-0034.20240724
髋臼有限高位重建对Crowe Ⅱ型及Ⅲ型髋关节发育不良术后中长期疗效的影响
Mid-to long-term outcomes of total hip arthroplasty with limited high hip center acetabular reconstruction for Crowe Ⅱ and Ⅲ developmental dysplasia of the hip
摘要
Abstract
Objective To investigate the medium and long-term clinical efficacy of total hip arthroplasty(THA)with lim-ited high acetabular reconstruction in the treatment of Crowe type Ⅱ and Ⅲ developmental dysplasia of the hip(DDH)compli-cated with secondary osteoarthritis.Methods The clinical data of 29 patients(31 hips)with Crowe type Ⅱ and Ⅲ DDH who underwent THA with limited high acetabular reconstruction from January 2013 to December 2018 were retrospectively ana-lyzed.Among them,there were 22 hips with Crowe type Ⅱ and 9 hips with Crowe type Ⅲ;there were 8 male patients and 21 fe-male patients,aged from 45 to 71 years old with an average of(53.61±8.75)years old.The visual analogue scale(VAS),Harris hip score(HHS),relative length difference of the lower limbs,and changes in radiological examination results were used for e-valuation.Meanwhile,the occurrence of complications during treatment and follow-up was recorded.Results The follow-up du-ration ranged from 67 to 135 months,with an average of(91.04±20.75)months.Preoperatively,the HHS was(47.81±9.46)points,the VAS score was(6.66±1.00)points,the relative length difference of the lower limbs was(16.97±6.69)mm,the ver-tical distance between the rotational center and the teardrop line was(29.30±3.95)mm,the horizontal distance between the ro-tational center and the teardrop was(39.79±4.75)mm,and the femoral offset was(26.73±5.61)mm.Postoperatively,hip joint function was significantly improved.At the last follow-up,the HHS was(91.16±3.26)points,the VAS score decreased to(1.56±0.76)points,the relative length difference of the lower limbs was(4.25±2.51)mm,the vertical distance between the ro-tational center and the teardrop line was(27.99±1.64)mm,the horizontal distance between the rotational center and the teardrop was(28.67±2.20)mm,and the femoral offset was(37.93±5.24)mm.All these indices showed statistically significant differences compared with the preoperative values(P＜0.01).During postoperative follow-up,none of the patients developed Trendelenburg sign,prosthesis loosening,or joint dislocation,and no abnormal gait was observed at the final follow-up.Con-clusion THA with limited high acetabular reconstruction achieves satisfactory medium-and long-term clinical outcomes in the treatment of Crowe type Ⅱ and Ⅲ DDH complicated with secondary osteoarthritis.关键词
髋臼重建/发育性髋关节发育不良/全髋关节置换术/骨关节炎Key words
Acetabular reconstruction/Developmental dysplasia of the hip/Total hip arthroplasty/Osteoarthritis分类
医药卫生引用本文复制引用
周建华,吴祖亮,胡锐明..髋臼有限高位重建对Crowe Ⅱ型及Ⅲ型髋关节发育不良术后中长期疗效的影响[J].中国骨伤,2026,39(7):704-709,6.基金项目
佛山市"十四五"医学高水平重点专科建设项目(编号:FSGSP145103) （编号:FSGSP145103）
佛山市"十四五"中医重点专科、专病建设项目(编号:ZDZKJS08)High-level Key Specialty Construction Project of Medicine During the 14th Five-Year Plan Period in Foshan City(No.FS-GSP145103) （编号:ZDZKJS08）
