目的 总结生物型人工全髋关节置换术治疗青年强直性脊柱炎髋关节病变的中期疗效。 方法2003年4月－2007年10月，采用生物型假体对18例（23髋）青年强直性脊柱炎髋关节病变行人工全髋关节置换。男12例（17髋），女6例（6髋）；年龄19～34岁，平均26.4岁。左侧8例，右侧5例；双侧5例。合并髋关节病变5～8年，平均6.8年。术前髋关节屈伸活动度为（30.3 ± 21.4）°，髋关节功能Harris评分为（43.2 ± 2.7）分。 结果术后切口均Ⅰ期愈合，无下肢深静脉血栓形成、肺栓塞、深部感染等并发症发生。患者均获随访，随访时间4年6个月～8年，平均6年。术后2例（2髋）发生异位骨化，1例（1髋）自觉大腿轻度酸痛。术前步态异常患者中除1例仍存在轻度摇摆外，其余患者步态均恢复正常。随访期间无假体脱位及翻修发生。末次随访时，Harris评分为（90.3 ± 3.5）分，髋关节屈伸活动度达（95.3 ± 27.6）°，与术前比较差异均有统计学意义（P lt; 0.05）。 结论生物型人工全髋关节置换术治疗青年强直性脊柱炎髋关节病变中期疗效满意。
Citation：
张仕凯,孙俊英,田家祥,查国春. 生物型人工全髋关节置换术治疗青年强直性脊柱炎髋关节病变的中期疗效. Chinese Journal of Reparative and Reconstructive Surgery, 2013, 27(2): 243-244. doi: 10.7507/1002-1892.20130053
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- 2. Bhan S, Eachempati KK, Malhotra R. Primary cementless total hip arthroplasty for bony ankylosis in patients with ankylosing spondylitis. J Arthroplasty, 2008, 23(6): 859-866.
- 3. Wang L, Trousdale RT, Ai S, et al. Dislocation after total hip arthroplasty among patients with developmental dysplasia of the hip. J Arthroplasty, 2012, 27(5): 764-769.
- 4. Domb B, Hostin E, Mont MA, et al. Cortical strut grafting for enigmatic thigh pain following total hip arthroplasty. Orthopedics, 2000, 23(1): 21-24.
- 5. Hsieh PH, Chang Y, Chen DW, et al. Pain distribution and response to total hip arthroplasty: a prospective observational study in 113 patients with end-stage hip disease. J Orthop Sci, 2012, 17(3): 213-218.
- 6. Butler RA, Rosenzweig S, Myers L, et al. the impact of socioeconomic factors on outcome after THA. A prospective, randomized study. Clin Orthop Relat Res, 2011, (469): 339-347.
