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与髋关节骨关节炎和标准全髋关节置换术相比,表面置换髋关节置换术患者的步态分析。

Gait analysis of patients with resurfacing hip arthroplasty compared with hip osteoarthritis and standard total hip arthroplasty.

作者信息

Mont Michael A, Seyler Thorsten M, Ragland Phillip S, Starr Roland, Erhart Jochen, Bhave Anil

机构信息

Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Reconstruction, Sinai Hospital of Baltimore, Baltimore, Maryland 21215, USA.

出版信息

J Arthroplasty. 2007 Jan;22(1):100-8. doi: 10.1016/j.arth.2006.03.010.

Abstract

Patients with standard total hip arthroplasties may have reduced hip abduction and extension moments when compared with normal nonosteoarthritic hips. In comparison, patients after resurfacing total hip arthroplasty appear to have a near-normal gait. The authors evaluated temporal-spatial parameters, hip kinematics, and kinetics in hip resurfacing patients compared with patients with unilateral osteoarthritic hips and unilateral standard total hip arthroplasties. Patients with resurfacing walked faster (average 1.26 m/s) and were comparable with normals. There were no significant differences in hip abductor and extensor moments of patients with resurfacing compared with patients in the standard hip arthroplasty group. This study showed more normal hip kinematics and functionality in resurfacing hip arthroplasty, which may be due to the large femoral head.

摘要

与正常的非骨关节炎髋关节相比,接受标准全髋关节置换术的患者可能会出现髋关节外展和伸展力矩降低的情况。相比之下,接受表面置换全髋关节置换术的患者似乎步态接近正常。作者评估了接受髋关节表面置换术的患者与单侧骨关节炎髋关节患者和单侧标准全髋关节置换术患者的时空参数、髋关节运动学和动力学。接受表面置换术的患者行走速度更快(平均1.26米/秒),与正常人相当。与标准髋关节置换术组的患者相比,接受表面置换术的患者髋关节外展肌和伸肌力矩没有显著差异。这项研究表明髋关节表面置换术的髋关节运动学和功能更正常,这可能是由于股骨头较大所致。

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