[1]陈阳,杜斌,刘锌,等.人工全髋关节置换术后假体脱位的影响因素[J].中医正骨,2022,34(09):37-36.
点击复制

人工全髋关节置换术后假体脱位的影响因素()
分享到:

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期数:
2022年09期
页码:
37-36
栏目:
综述
出版日期:
2022-09-20

文章信息/Info

作者:
陈阳杜斌刘锌陈浩侯伟高飞飞
(江苏省中医院,江苏南京210029)
关键词:
关节成形术置换 假体失效 综述
摘要:
人工全髋关节置换术(total hip arthroplasty,THA)可解除晚期病变髋关节所造成的疼痛,矫正关节畸形,改善关节活动度,促进关节功能恢复,从而在一定程度上提高患者的生活质量。近年来,随着医疗技术的不断发展和人工THA的日益成熟,THA术后并发症明显减少,但由于患者自身基本情况、术中所选假体类型、手术医师的手术方式、髋关节假体放置角度等诸多因素的共同影响,术后仍然存在不同程度的假体脱位。假体脱位不仅给临床医生带来了极大的挑战,更给患者身心造成了严重的创伤。因此,系统总结分析THA术后假体脱位的相关影响因素,对于避免该类并发症的发生具有重要意义。本文从患者自身因素、手术相关因素、术后影响因素3个方面对人工THA术后假体脱位的影响因素进行了综述。

参考文献/References:

[1] HERMAN A, MASRI B A,DUNCAN C P,et al.Multivariate analysis of risk factors for re-dislocation after revision for dislocation after total hip arthroplasty[J].HIP Int, 2020,30(1):93-100.
[2] ACKERMAN I N,BOHENSKY M A,KEMP J L,et al.Quantifying the likelihood and costs of hip replacement surgery after sports injury:a population-level analysis[J].Phys Ther Sport,2020,41:9-15.
[3] MORTAZAVI S M J,GHADIMI E,ARDAKANI M V,et al.Risk factors of dislocation after total hip arthroplasty in patients with developmental dysplasia of the hip[J].Int Ortho,2022,46(4):749-759.
[4] HOSKINS W,BINGHAM R,LORIMER M,et al.Early rate of revision of total hip arthroplasty related to surgical approach: an analysis of 122,345 primary total hip arthroplasties[J].J Bone Joint Surg Am,2020,102(21):1874-1882.
[5] PETERS R M,VAN STEENBERGEN L N,STEWART R E,et al.Patient characteristics influence revision rate of total hip arthroplasty:American Society of Anesthesiologists score and body mass index were the strongest predictors for short-term revision after primary total hip arthroplasty[J].J Arthroplasty,2020,35(1):188-192.
[6] NUGENT M,YOUNG S W,FRAMPTON C M,et al.The lifetime risk of revision following total hip arthroplasty:a New Zealand Joint Registry study[J].Bone Joint J,2021,103(3):479-485.
[7] MOHAMED N S,CASTRODAD I M D,ETCHESON J I,et al.Inpatient dislocation after primary total hip arthroplasty:incidence and associated patient and hospital factors[J].HIP Int,2020,32(2):152-159.
[8] HERMANSEN L L,VIBERG B,HANSEN L,et al.“True” cumulative incidence of and risk factors for hip dislocation within 2 years after primary total hip arthroplasty due to osteoarthritis:a nationwide population-based study from the Danish Hip Arthroplasty Register[J].J Bone Joint Surg Am,2021,103(4):295-302.
[9] YANG Q,WANG J,XU Y,et al.Incidence and risk factors of in-hospital prosthesis-related complications following total hip arthroplasty:a retrospective Nationwide Inpatient Sample database study[J].Int Orthop,2020,44(11):2243-2252.
[10] MASIONIS P,VILEIKIS T P,KVEDERAS G,et al.Risk factors for revision after early and delayed total hip arthroplasty dislocation.An analysis of lithuanian arthroplasty register[J].Cureus,2021,13(3):e14155.
[11] FESSY M H,PUTMAN S,VISTE A,et al.What are the risk factors for dislocation in primary total hip arthroplasty?A multicenter case-control study of 128 unstable and 438 stable hips[J].Orthop Traumatol Surg Res,2017,103(5):663-668.
[12] SPRINGER B D.Management of the bariatric patient.What are the implications of obesity and total joint arthroplasty:the orthopedic surgeon's perspective?[J].J Arthroplasty,2019,34(7):S30-S32.
[13] WERNER B C,HIGGINS M D,PEHLIVAN H C,et al.Super obesity is an independent risk factor for complications after primary total hip arthroplasty[J].J Arthroplasty,2017,32(2):402-406.
[14] TOHIDI M,BROGLY S B,LAJKOSZ K,et al.Ten-year risk of complication and mortality after total hip arthroplasty in morbidly obese patients:a population study[J].Can J Surg,2019,62(6):442-449.
[15] MURPHY M P,SCHNEIDER A M,LEDUC R C,et al.A multivariate analysis to predict total hip arthroplasty dislocation with preoperative diagnosis,surgical approach,spinal pathology,cup orientation,and head size[J].J Arthroplasty,2022,37(1):168-175.
[16] CHOE H,KOBAYASHI N,KOBAYASHI D,et al.Post-operative excessive external femoral rotation in revision total hip arthroplasty is associated with muscle weakness in iliopsoas and gluteus medius and risk for hip dislocation[J].J Orthop Surg Res,2021,16(1):582.
[17] JO S,ALMONTE J H J,SIERRA R J.The cumulative risk of re-dislocation after revision THA performed for instability increases close to 35% at 15 years[J].J Arthroplasty,2015,30(7):1177-1182.
[18] GAUSDEN E B,CROSS III W W,MABRY T M,et al.Total hip arthroplasty for femoral neck fracture:what are the contemporary reasons for failure?[J].J Arthroplasty,2021,36(7):S272-S276.
[19] SALIB C G,REINA N,PERRY K I,et al.Lumbar fusion involving the sacrum increases dislocation risk in primary total hip arthroplasty[J].Bone Joint J,2019,101-B(2):198-206.
[20] BUCKLAND A J,PUVANESARAJAH V,VIGDORCHIK J,et al.Dislocation of a primary total hip arthroplasty is more common in patients with a lumbar spinal fusion[J].Bone Joint J,2017,99-B(5): 585-591.
[21] HECKMANN N,MCKNIGHT B,STEFL M,et al.Late dislocation following total hip arthroplasty:spinopelvic imbalance as a causative factor[J].J Bone Joint Surg Am,2018,100(21):1845-1853.
[22] ONGGO J R,NAMBIAR M,ONGGO J D,et al.Clinical outcomes and complication profile of total hip arthroplasty after lumbar spine fusion:a meta-analysis and systematic review[J].Eur Spine J,2020,29(2):282-294.
[23] JOHNSON R L,ABDEL M P,FRANK R D,et al.Impact of frailty on outcomes after primary and revision total hip arthroplasty[J].J Arthroplasty,2019,34(1):56-64.
[24] CHEN X,QIAN W,QIU G,et al.Patients with neuromyelitis optica spectrum disorder(NMOSD)are associated with adverse outcome after total hip arthroplasty:a matched case–control study[J].Orphanet J Rare Dis,2021,16(1):369.
[25] GUIER C,SHI G,LEDFORD C,et al.Primary total hip arthroplasty in patients with Ehlers-Danlos syndrome:a retrospective matched-cohort study[J].Arthroplasty Today,2020,6(3):386-389.
[26] YETKIN C,YILDIRIM T,ALPAY Y,et al.Evaluation of dislocation risk factors with total hip arthroplasty in developmental hip dysplasia patients:a multivariate analysis[J].J Arthroplasty,2021,36(2):636-640.
[27] KOBAYASHI T,MORIMOTO T,SONOHATA M,et al.Is dislocation following total hip arthroplasty caused while suffering from delirium?[J].Nagoya J Med Sci,2021,83(3): 601-607.
[28] LI H, XIE J W,DING Z C,et al.Evaluation of the rate of post-operative dislocation in patients with ipsilateral valgus knee deformity after primary total hip arthroplasty[J].Int Orthop,2022,46(7):1507-1514.
[29] KHEIR M M,KHEIR Y N P,TAN T L,et al.Increased complications for schizophrenia and bipolar disorder patients undergoing total joint arthroplasty[J].J Arthroplasty,2018,33(5):1462-1466.
[30] American Society of Anesthesiologists Task Force on Acute Pain Management.Practice guidelines for acute pain management in the perioperative setting:an updated report by the American Society of Anesthesiologists Task Force on Acute Pain Management[J].Anesthesiology,2012,116(2):248-273.
[31] PETERS R M,VAN STEENBERGEN L N,STEWART R E,et al.Patient characteristics influence revision rate of total hip arthroplasty:American Society of Anesthesiologists score and body mass index were the strongest predictors for short-term revision after primary total hip arthroplasty[J].J Arthroplasty,2020,35(1):188-192.
[32] TENI F S,BURSTRÖM K,BERG J,et al.Predictive ability of the American Society of Anaesthesiologists physical status classification system on health-related quality of life of patients after total hip replacement: comparisons across eight EQ-5D-3L value sets[J].BMC Musculoskelet Disord,2020,21(1):441.
[33] KENANIDIS E,KAKOULIDIS P,ANAGNOSTIS P,et al.Constrained liners revisited: favourable mid-term results in patients with high-risk of dislocation: technical considerations for the optimal outcome[J/OL].HIP Int,2021[2022-02-20].https://pubmed.ncbi.nlm.nih.gov/33896259/.
[34] JONES S A.Constrained acetabular liners[J].J Arthroplasty,2018,33(5):1331-1336.
[35] RYU H G,ROH Y J,OH K J,et al.Dual mobility articulation total hip arthroplasty for displaced neck fracture in elderly with neuromuscular disorder[J].Injury,2021,52(6):1480-1486.
[36] LI W T,KOZICK Z,SHERMAN M,et al.Dual mobility bearing articulations result in lower rates of dislocation after revision total hip arthroplasty[J].J Am Acad of Orthop Surg,2020,28(20):831-837.
[37] ERTAS E S,TOKGÖZOGLU A M.Dislocation after total hip arthroplasty:does head size really matter?[J].Hip Int,2021,31(3):320-327.
[38] CASTAGNINI F,COSENTINO M,BRACCI G,et al.Ceramic-on-ceramic total hip arthroplasty with large diameter heads:a systematic review[J].Med Princ Practice,2021,30(1):29-36.
[39] MONONEN H,SUND R,HALME J,et al.Following total hip arthroplasty:femoral head component diameter of 32 mm or larger is associated with lower risk of dislocation in patients with a prior lumbar fusion[J].Bone Joint J,2020,102(8):1003-1009.
[40] WADDELL B S,KOCH C,TRIVELLAS M,et al.Have large femoral heads reduced prosthetic impingement in total hip arthroplasty?[J].Hip Int,2019,29(1):83-88.
[41] 翟吉良,蔡思毅,翁习生.人工全髋关节置换术后脱位原因分析[J].中国矫形外科杂志,2013,21(1):58-60.
[42] TEZUKA T,HECKMANN N D,BODNER R J,et al.Functional safe zone is superior to the Lewinnek safe zone for total hip arthroplasty:why the Lewinnek safe zone is not always predictive of stability[J].J Arthroplasty,2019,34(1):3-8.
中医正骨2022年9月第34卷第9期 J Trad Chin Orthop Trauma,2022,Vol.34,No.9(总683)
(总684)中医正骨2022年9月第34卷第9期 J Trad Chin Orthop Trauma,2022,Vol.34,No.9
[43] LI L,ZHANG Y,LIN Y,et al.A specific anteversion of cup and combined anteversion for total hip arthroplasty using lateral approach[J].Orthop Surg,2020,12(6):1663-1673.
[44] 杨超,张雷,陈烁,等.应用大号生物型臼杯行髋关节翻修对髋关节旋转中心和股骨偏心距的影响研究[J].中国修复重建外科杂志,2017,31(2):139-143.
[45] FORDE B, ENGELN K,BEDAIR H,et al.Restoring femoral offset is the most important technical factor in preventing total hip arthroplasty dislocation[J].J Orthop,2018,15(1):131-133.
[46] VICENTI G,SOLARINO G,SPINARELLI A,et al.Restoring the femoral offset prevent early migration of the stem in total hip arthroplasty: an EBRA-FCA study[J].J Biol Regul Homeost Agents,2016,30(4 Suppl 1):207-212.
[47] JINNO T, KOGA D, ASOU Y,et al.Intraoperative evaluation of the effects of femoral component offset and head size on joint stability in total hip arthroplasty[J/OL].J Orthop Surg(Hong Kong),2017,25(1)[2022-02-20].https://pubmed.ncbi.nlm.nih.gov/28741411/.
[48] VIGDORCHIK J M,SHARMA A K,ELBULUK A M,et al.High offset stems are protective of dislocation in high-risk total hip arthroplasty[J].J Arthroplasty,2021,36(1):210-216.
[49] KOMIYAMA K,FUKUSHI J I,MOTOMURA G,et al.Does high hip centre affect dislocation after total hip arthroplasty for developmental dysplasia of the hip?[J].Int Orthop,2019,43(9):2057-2063.
[50] ZHANG H, ZHOU J,GUAN J,et al.How to restore rotation center in total hip arthroplasty for developmental dysplasia of the hip by recognizing the pathomorphology of acetabulum and Harris fossa?[J].J Orthop Surg Res,2019,14(1):339.
[51] ZHANG H,ZHOU J,LIU Y,et al.Mid-term and long-term results of restoring rotation center in revision hip arthroplasty[J].J Orthop Surg Res,2020,15(1):152.
[52] JINNAH A H,SMITH B P,PERRICELLI B C.Comparison of two multimodal pain regimens used for postoperative pain control in total joint arthroplasty patients[J].J Surg Orthop Adv,2016,25(4):209-214.
[53] JOHNSON R L,FRANK R D,HABERMANN E B,et al.Neuraxial anesthesia is associated with improved survival after total joint arthroplasty depending on frailty:a cohort study[J].Reg Anesth Pain Med,2020,45(6):405-411.
[54] RYAN S P,HOPKINS T J,WELLMAN S S,et al.Undersedation during total hip arthroplasty reduction results in worse patient outcomes[J].J Arthroplasty,2019,34(12):3061-3064.
[55] ZIJLSTRA W P,DE HARTOG B,VAN STEENBERGEN L N,et al.Effect of femoral head size and surgical approach on risk of revision for dislocation after total hip arthro-plasty[J].Acta orthop,2017,88(4):395-401.
[56] HOSKINS W,BINGHAM R,LORIMER M,et al.Early rate of revision of total hip arthroplasty related to surgical approach:an analysis of 122,345 primary total hip arthroplasties[J].J Bone Joint Surg Am,2020,102(21):1874-1882.
[57] PINCUS D,JENKINSON R,PATERSON M,et al.Association between surgical approach and major surgical complications in patients undergoing total hip arthroplasty[J].JAMA,2020,323(11):1070-1076.
[58] WU F,YIN P,YU X,et al.Comparison of two posterior soft tissue repair techniques to prevent dislocation after total hip arthroplasty via the posterolateral approach[J].J Invest Surg,2021,34(5):513-521.
[59] LU Y,WU Z,TANG X,et al.Effect of articular capsule repair on postoperative dislocation after primary total hip replacement by the anterolateral approach[J].J Int Med Res,2019,47(10):4787-4797.
[60] JURKUTAT J,ZAJONZ D,SOMMER G,et al.The impact of capsular repair on the risk for dislocation after revision total hip arthroplasty-a retrospective cohort-study of 259 cases[J].BMC Musculoskelet Disord,2018,19(1):314.
[61] TOMLINSON J,ZWIRNER J,ONDRUSCHKA B,et al.Innervation of the hip joint capsular complex:a systematic review of histological and immunohistochemical studies and their clinical implications for contemporary treatment strategies in total hip arthroplasty[J/OL].PloS one,2020,15(2)[2022-02-20].https://pubmed.ncbi.nlm.nih.gov/32101545/.
[62] SMITH T O,SACKLEY C M.UK survey of occupational therapist's and physiotherapist's experiences and attitudes towards hip replacement precautions and equipment[J].BMC Musculoskelet Disord,2016,17:228.
[63] CROMPTON J,OSAGIE-CLOUARD L,PATEL A.Do hip precautions after posterior-approach total hip arthroplasty affect dislocation rates?A systematic review of 7 studies with 6,900 patients[J].Acta Orthop,2020,91(6):687-692.
[64] LIGHTFOOT C J,SEHAT K R,COOLE C,et al.Evaluation of hip precautions following total hip replacement:a before and after study[J].Disabil Rehabil,2021,43(20):2882-2889.
[65] LEE G R H,BERSTOCK J R,WHITEHOUSE M R,et al.Recall and patient perceptions of hip precautions 6 weeks after total hip arthroplasty[J].Act Opaedica,2017,88(5):496-499.
[66] 詹丽娜,占小兵,袁丽.1例单侧髋关节置换术后患者系统性功能锻炼的护理体会[J].中西医结合护理(中英文),2017,3(9):39-41.
[67] LABANCA L,CIARDULLI F,BONSANTO F,et al.Balance and proprioception impairment,assessment tools,and rehabilitation training in patients with total hip arthroplasty:a systematic review[J].BMC Musculoskelet Disord,2021,22(1):1055.

相似文献/References:

[1]邢金明.切开复位锁定钢板内固定术和人工半肩关节置换术 治疗老年肱骨近端复杂骨折的对比研究[J].中医正骨,2015,27(08):11.
 XING Jinming.A retrospective trial of open reduction and locking plate internal fixation versus artificial shoulder hemiarthroplasty for complicated proximal humeral fractures in old patients[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):11.
[2]赵云昌.人工股骨头置换治疗老年粉碎性股骨转子间骨折[J].中医正骨,2015,27(08):31.
[3]张明强.生物型加长柄半髋关节置换术治疗 高龄不稳定股骨转子间骨折疗效观察[J].中医正骨,2015,27(02):56.
[4]蔡云仙.围手术期耳穴按压联合平衡针疗法 在全膝关节置换术后镇痛中的应用[J].中医正骨,2015,27(06):41.
[5]喻长纯,杨明路,王战朝.不同手术方式治疗胫骨平台骨折畸形愈合的体会[J].中医正骨,2015,27(03):37.
[6]魏瑄,宋树春,王金良.术前精确测量和评估在全髋关节置换治疗 成人发育性髋关节发育不良继发骨关节炎中的价值[J].中医正骨,2015,27(01):30.
[7]鲍荣华,陈晓东,王国平,等.Wagner Cone生物型假体置换结合经股骨转子下横形截骨 治疗CroweⅣ型成人发育性髋关节发育不良[J].中医正骨,2015,27(01):33.
[8]喻长纯,杨明路,王战朝.同期髌骨脱位矫正术联合全膝关节置换术治疗 晚期膝骨关节炎合并习惯性髌骨脱位[J].中医正骨,2015,27(01):41.
[9]武理国,沈军,傅国海,等.人工肱骨头置换治疗老年肱骨近端复杂骨折[J].中医正骨,2013,25(10):70.
[10]李国梁,韩广普,闫国强,等.红花化瘀汤薰蒸联合理筋手法 在膝骨关节炎全膝关节置换术后康复中的应用[J].中医正骨,2013,25(12):31.
 Li Guoliang*,Han Guangpu,Yan Guoqiang,et al.Clinical application of HONGHUAHUAYU decoctions steaming combined with sinew adjusting manipulation in the postoperative rehabilitation of total knee arthroplasty in patients with knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(09):31.
[11]樊庆阳,任凯晶.定制3D打印切模辅助全膝关节置换术治疗 膝骨关节炎合并股骨干骨折畸形愈合[J].中医正骨,2015,27(11):37.
[12]李翰林,童培建.利福平联合用药配合保留假体清创治疗 人工关节置换术后早期感染及低毒性感染[J].中医正骨,2015,27(09):56.
[13]刘晓雅,孙永强,刘国杰.主动快速康复锻炼对全膝关节置换术后关节活动度的影响[J].中医正骨,2015,27(09):73.
[14]张维平,康两期,陈卫,等.全髋关节置换术围手术期隐性失血的研究进展[J].中医正骨,2015,27(08):61.
[15]宋兵华,孙俊英,倪增良,等.全膝关节置换术前CT测量股骨后髁角的临床意义[J].中医正骨,2015,27(07):38.
[16]王金良,孙京涛,李玲,等.骨水泥联合螺钉修复全膝关节置换术中 胫骨平台内侧骨缺损[J].中医正骨,2015,27(12):55.
[17]徐伟锋,叶健,吴连国.强骨饮对骨质疏松性股骨颈骨折患者全髋关节置换术后 血清骨代谢生化指标和骨密度的影响[J].中医正骨,2015,27(02):12.
 XU Weifeng,YE Jian,WU Lianguo.Effect of Qianggu Yin(强骨饮,QGY)on serum bone metabolism indexes and bone density after total hip arthroplasty in patients with osteoporotic femoral neck fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):12.
[18]张荣,王健.人工全膝关节置换术的围手术期心理护理[J].中医正骨,2015,27(05):77.
[19]齐志远,陈秀民,王在斌,等.桃红四物加黄芪汤预防人工髋膝关节置换术后 下肢深静脉血栓形成[J].中医正骨,2015,27(03):71.
[20]陆吴超,季卫锋,马镇川.关节镜下清创后持续灌洗联合中药口服治疗 全膝关节置换术后急性期感染[J].中医正骨,2015,27(01):51.

备注/Memo

备注/Memo:
通讯作者:杜斌 E-mail:fsyy00608@njucm.edu.cn
更新日期/Last Update: 1900-01-01