双侧同期全髋关节置换术治疗僵直髋
Bilateral synchronous total hip arthroplasty for ankylosed hips.
机构信息
Department of Orthopadedics, The Third Hospital Affiliated to Zhejiang University of TCM, Hangzhou 310005, China.
出版信息
Int Orthop. 2012 Apr;36(4):697-701. doi: 10.1007/s00264-011-1313-8. Epub 2011 Jul 13.
PURPOSE
We investigated the effect of bilateral total hip replacement (THR) for patients with ankylosed hip joints caused by late ankylosing spondylitis (AS) and to discuss its related pre- and postoperative problems.
METHODS
Data of 12 patients with ankylosed hip joints caused by late AS who underwent THR (24 hips) were reviewed. Each patient had both hips replaced at the same time. We assessed joint pain, range of motion (ROM) and Harris hip score (HHS) to determine postoperative results.
RESULTS
Mean follow-up was 4.2 years; all hip-joint function improved, and flexion deformity was corrected. Flexion ranges were 75-105°(average 84. 4°) extension 10°~20°(average 18. 7°). HHS ranged from 15.21 points preoperation to 86.25 points postoperation. No patient experienced hip pain postoperatively, and presurgery knee and lower back pain were clearly relieved postoperatively.
CONCLUSION
Bilateral THR is an effective treatment for the ankylosed hip joint caused by late ankylosing spondylitis. When considering this procedure, attention to related pre- and postoperative problems must be considered.
目的
探讨双侧全髋关节置换术（THR）治疗晚期强直性脊柱炎（AS）所致髋关节强直的疗效，并探讨其相关术前、术后问题。
方法
回顾性分析 12 例晚期 AS 所致髋关节强直行 THR（24 髋）患者的临床资料。所有患者均同期行双侧髋关节置换术。评估关节疼痛、活动范围（ROM）和 Harris 髋关节评分（HHS）以确定术后结果。
结果
平均随访 4.2 年；所有髋关节功能均改善，屈曲畸形得到矫正。屈曲范围为 75-105°（平均 84.4°），伸展范围为 10°~20°（平均 18.7°）。HHS 术前为 15.21 分，术后为 86.25 分。术后无患者出现髋部疼痛，术前膝关节和下腰痛均明显缓解。
结论
双侧 THR 是治疗晚期强直性脊柱炎所致髋关节强直的有效方法。在考虑这种手术时，必须注意相关的术前、术后问题。
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