[全髋关节置换术后异位骨化的超声早期诊断可能性]

[Possibility of sonographic early diagnosis of heterotopic ossifications after total hip-replacement].

作者信息

Popken F, König D P, Tantow M, Rütt J, Kausch T, Peters K M

机构信息

Klinik und Poliklinik für Orthopädie, Universität Köln, Cologne.

出版信息

Unfallchirurg. 2003 Jan;106(1):28-31. doi: 10.1007/s00113-002-0461-0.

DOI:10.1007/s00113-002-0461-0

PMID:12552390

Abstract

AIM

The sonographic early diagnosis of heterotopic ossifications after total hip replacement.

MATERIAL AND METHOD

53 patients were sonographically and radiologically examined after a total hip-replacement. RESULTS. In the sonographic exam,positive findings were shown in 49.1% (n=26) one week, 66% (n=35) three weeks,73.6% (n=39) six weeks and 77.3% (n=41) twelve weeks after surgery. 88.5% of patients showing positive results in the sonographic exam carried out one week after surgery, later on showed positive x-ray findings (p<0.001). Of the three-week positive x-ray findings (n=19), 78.9% had condensations in the sonographic exam (p<0.001).

CONCLUSIONS

Sonographic imaging after hip-replacement seems to be a sensitive and specific method which allows an early diagnosis of ossifications one week after surgery in 2/3 of patients. In this context a therapy concept which helps avoiding the development ossifications would be welcome.

摘要

目的

全髋关节置换术后异位骨化的超声早期诊断。

材料与方法

对53例全髋关节置换术后患者进行超声和放射学检查。结果。在超声检查中，术后1周49.1%（n = 26）、3周66%（n = 35）、6周73.6%（n = 39）、12周77.3%（n = 41）出现阳性结果。术后1周超声检查呈阳性结果的患者中，88.5%随后X线检查呈阳性（p < 0.001）。在3周时X线检查呈阳性结果的患者（n = 19）中，78.9%在超声检查中有骨化表现（p < 0.001）。