[1]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):33-35.
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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()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年01期
页码:
33-35
栏目:
临床报道
出版日期:
2015-01-15

文章信息/Info

作者:
鲍荣华1陈晓东2王国平1夏晓斌1邵利芳1
1.浙江省富阳市中医骨伤医院,浙江 富阳 311400;
2.上海交通大学医学院附属新华医院,上海 200092
关键词:
髋脱位先天性 关节成形术置换 截骨术 转子下横形截骨
摘要:
目的:探讨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(developmental dysplasia of the hip,DDH)的临床疗效和安全性。方法:采用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DDH患者20例33髋,男2例3髋,女18例30髋。年龄31~51岁,中位数42.5岁。单侧7例,双侧13例。术后评价患者的临床疗效和并发症发生情况。结果:截骨长度2~5 cm,中位数3.5 cm; 20例患者均未使用重建杯或髋臼加强环,3例行自体股骨头结构性植骨。所有患者均获随访,随访时间13~62个月,中位数42.5个月。本组未出现感染、脱位病例; 2例患者遗留轻度跛行,但较术前明显改善,无股神经麻痹及坐骨神经牵拉伤表现; 4例患者股骨截骨端延迟愈合,但均在9个月内骨性愈合。下肢短缩<1 cm者12例,1 cm≤下肢短缩≤2 cm者6例,下肢短缩>2 cm者2例。本组患者术前Harris评分(33.1±4.2)分,术后9个月Harris评分(92.8±2.7)分。结论:采用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DDH,可平衡下肢长度,改善下肢功能,减少神经血管损伤,而且并发症较少,是治疗该病的有效方法之一。

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备注/Memo

备注/Memo:
2014-10-12收稿 2014-11-05修回
基金项目:浙江省中医药重点学科建设项目(2012-XK-D03)
通讯作者:陈晓东 E-mail:chenxdmd@163.com
更新日期/Last Update: 2015-01-30