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[强直性脊柱炎患者全髋关节置换术的长期结果]

[Long term results of total hip arthroplasty in patients with ankylosing spondylitis].

作者信息

Smiłowicz M

机构信息

Kliniki Chirurgii Ortopedycznej Instytutu Reumatologicznego w Warszawie.

出版信息

Chir Narzadow Ruchu Ortop Pol. 1990;55(4-6):365-71.

PMID:1369846
Abstract

The results of total hip arthroplasty with the use of 5 different types of prostheses in 63 hips of 38 patients were presented. The range of follow up was from 7 to 14 years. The evaluation was done with the aid of M. d'Aubigné--Postel criteria and radiological assessment. Patients opinion and his ability to work was taken into consideration. The pain was reduced most significantly. Remarkable improvement was found in the gait and in the range of hip motion. In 24.5% of patients possible, probable or evident radiographic loosening was found. Ectopic ossifications of different degree were found in 38.8% of patients, mostly in hips previously operated on or severely destroyed. Ankylosing hips improved in movement to lesser extent. No deep infection was observed in early or late follow up.

摘要

本文展示了38例患者63髋使用5种不同类型假体进行全髋关节置换术的结果。随访时间为7至14年。采用d'Aubigné - Postel标准和影像学评估进行评价。同时考虑了患者的意见及其工作能力。疼痛减轻最为显著。步态和髋关节活动范围有明显改善。24.5%的患者出现了可能、很可能或明显的影像学松动。38.8%的患者出现了不同程度的异位骨化,主要见于既往接受过手术或严重受损的髋关节。强直性髋关节的活动改善程度较小。在早期或晚期随访中均未观察到深部感染。

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