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[髋关节融合术作为退行性变的一种治疗方法——是过时之举还是人工关节置换术的替代选择?]

[Arthrodesis of the hip joint as a treatment of degenerative changes--anachronism or an alternative for endoprosthetic arthroplasty?].

作者信息

Serafin J, Macias J

机构信息

Kliniki Ortopedycznej AM w Warszawie.

出版信息

Chir Narzadow Ruchu Ortop Pol. 1990;55(2):101-7.

PMID:1369928
Abstract

On the basis of the observation of 22 patients with arthrodesis of the hip (the average age -- 34 years), the value of the method in the treatment of osteoarthritis that joint has been discussed. The comparison of intraarticular arthrodesis with stable compression with pelvis osteotomy and stabilization by the "cobra" plate has proved that the second method is better because of elimination of immobilization by a plaster cast and low percentage of complications of union. The clinical analysis of the majority of the patients has not revealed negative influence of arthrodesis on the other hip, the lumbar spine and the knee. Arthrodesis of the hip has improved walking efficiency and ability to work in 17 from 22 patients. Very good and good results have been obtained in 16 patients, fair in 3, and poor in 3.

摘要

基于对22例髋关节融合患者(平均年龄34岁)的观察,探讨了该方法在治疗该关节骨关节炎中的价值。关节内稳定加压融合术与骨盆截骨术及“眼镜蛇”钢板固定术的比较证明,第二种方法更好,因为它消除了石膏固定,且骨愈合并发症发生率较低。对大多数患者的临床分析未发现髋关节融合对另一侧髋关节、腰椎和膝关节有负面影响。22例患者中有17例髋关节融合后步行效率和工作能力得到改善。16例患者取得了非常好和良好的效果,3例效果尚可,3例效果较差。

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1
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Chir Narzadow Ruchu Ortop Pol. 1990;55(2):101-7.
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