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一种颈部固定型股骨植入物对全髋关节置换术后下肢长度不等的影响:一项影像学研究。

The effect of a neck-retaining femoral implant on leg-length inequality following total hip arthroplasty: a radiological study.

作者信息

Khanduja V, Tek V, Scott G

机构信息

Bone & Joint Research Unit, The Royal London Hospital, Whitechapel, London E1 1BB, UK.

出版信息

J Bone Joint Surg Br. 2006 Jun;88(6):712-5. doi: 10.1302/0301-620X.88B6.17190.

DOI:10.1302/0301-620X.88B6.17190
PMID:16720760
Abstract

The aim of this study was to assess whether a femoral component which retained the neck reduced the incidence of leg-length inequality following total hip arthroplasty. A retrospective review was undertaken of 130 consecutive primary total hip arthroplasties performed between April 1996 and April 2004 using such an implant. There were 102 suitable patients for the study. Standardised pre- and post-operative pelvic radiographs were measured by an independent investigator to the nearest millimetre. The leg-length inequality was reduced from a mean pre-operative value of -0.71 cm to a mean of 0.11 cm post-operatively. Of the 102 patients 24 (23.5%) had an equal leg-length post-operatively, and 95 (93.1%) had a leg-length inequality between -1 cm and 1 cm.

摘要

本研究的目的是评估保留股骨颈的股骨假体是否能降低全髋关节置换术后肢体长度不等的发生率。对1996年4月至2004年4月间连续进行的130例使用此类植入物的初次全髋关节置换术进行了回顾性研究。有102例适合该研究的患者。由一名独立研究者对标准化的术前和术后骨盆X线片进行测量,精确到毫米。肢体长度不等从术前平均-0.71 cm降至术后平均0.11 cm。在这102例患者中,24例(23.5%)术后肢体长度相等,95例(93.1%)肢体长度不等在-1 cm至1 cm之间。

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引用本文的文献

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Cureus. 2021 Nov 29;13(11):e19986. doi: 10.7759/cureus.19986. eCollection 2021 Nov.
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Leg length discrepancy after total hip arthroplasty: a review of literature.全髋关节置换术后的肢体长度差异:文献综述。
Curr Rev Musculoskelet Med. 2013 Dec;6(4):336-41. doi: 10.1007/s12178-013-9180-0.
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[Implant position of total hip arthroplasty shafts. Establishment of a new method for comparison between planned and achieved shaft positions].
Orthopade. 2012 Jul;41(7):552-9. doi: 10.1007/s00132-012-1961-4.
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Preoperative radiographic assessment of limb-length discrepancy in total hip arthroplasty.全髋关节置换术肢体不等长的术前放射学评估。
Clin Orthop Relat Res. 2011 Jun;469(6):1677-82. doi: 10.1007/s11999-010-1588-x. Epub 2010 Sep 29.