Forsythe Michael E, Whitehouse Sarah L, Dick Jonathan, Crawford Ross W
Department of Orthopaedic Surgery, The Prince Charles Hospital, Brisbane, Queensland, Australia.
J Arthroplasty. 2007 Feb;22(2):227-30. doi: 10.1016/j.arth.2006.06.003.
The influence of dislocation on functional outcomes of primary total hip arthroplasty is unclear. The purpose of this study was to assess the effect of nonrecurrent dislocations treated with closed reduction after primary total hip arthroplasty on postoperative outcome in the short to medium term. Ninety-six patients were enrolled in this retrospective case-control study. There were 32 patients who had a postoperative dislocation. The control group consisted of 64 matched patients who did not dislocate. All patients had a minimum of 1-year follow-up. The 2 groups were compared using the SF-12, reduced WOMAC, and satisfaction questionnaire. There was no statistical difference between the 2 groups in subjective functional outcomes using the WOMAC or SF-12. However, there was a trend toward better quality of life scores in the control group, and they were more satisfied with their surgery compared with the dislocation group.
脱位对初次全髋关节置换术功能结局的影响尚不清楚。本研究的目的是评估初次全髋关节置换术后采用闭合复位治疗的非复发性脱位对短期至中期术后结局的影响。本项回顾性病例对照研究纳入了96例患者。其中有32例患者术后发生脱位。对照组由64例未发生脱位的匹配患者组成。所有患者均至少随访1年。使用SF-12、简化WOMAC和满意度问卷对两组进行比较。两组在使用WOMAC或SF-12评估主观功能结局方面无统计学差异。然而,对照组的生活质量评分有更好的趋势,与脱位组相比,他们对手术更满意。