Onodera Shin, Majima Tokifumi, Ito Hiroshi, Matsuno Takeo, Kishimoto Takafumi, Minami Akio
Department of Orthopaedic Surgery, Hokkaido University, Graduate School of Medicine, Sapporo, Japan.
J Arthroplasty. 2006 Aug;21(5):664-9. doi: 10.1016/j.arth.2005.08.016.
We present the results of total hip arthroplasty using S-ROM (Depuy, Warsaw, Ind) prosthesis combined with corrective femoral transverse osteotomy for hips with proximal femoral deformity. Fourteen hips were followed up for a mean of 61 months (range, 36-95 months), with a mean age at surgery of 55 years (range, 44-69 years). The average intraoperative blood loss was 638 mL, and the average operative time was 136 minutes. The average Harris Hip Score increased from 38.0 (range, 15.0-55.7) preoperatively to 82.0 (range, 34.6-92.7) at the latest follow-up. All the hips except for 1 acquired union of osteotomy and bone ingrowth. S-ROM modular stem, which gives sufficient rotational stability at both proximal and distal parts of the osteotomy, is useful for total hip arthroplasty combined with corrective femoral transverse osteotomy.
我们展示了使用S-ROM（迪普伊公司，印第安纳州华沙）假体结合股骨近端截骨术治疗股骨近端畸形髋关节的全髋关节置换术结果。对14例髋关节进行了平均61个月（范围36 - 95个月）的随访，手术时的平均年龄为55岁（范围44 - 69岁）。术中平均失血量为638 mL，平均手术时间为136分钟。Harris髋关节评分平均从术前的38.0（范围15.0 - 55.7）提高到最近一次随访时的82.0（范围34.6 - 92.7）。除1例髋关节外，所有髋关节均实现截骨愈合和骨长入。S-ROM模块化柄在截骨的近端和远端均提供足够的旋转稳定性，对于全髋关节置换术联合股骨近端截骨术是有用的。
