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直面髋关节表面置换术和大股骨头置换术的步态分析。

Confronting hip resurfacing and big femoral head replacement gait analysis.

作者信息

Karampinas Panagiotis K, Evangelopoulos Dimitrios S, Vlamis John, Nikolopoulos Konstantinos, Korres Dimitrios S

机构信息

Third Department of Orthopaedic Surgery, University of Athens, KAT Hospital , Athens, Greece.

出版信息

Orthop Rev (Pavia). 2014 Mar 26;6(1):5221. doi: 10.4081/or.2014.5221. eCollection 2014 Jan 20.

Abstract

Improved hip kinematics and bone preservation have been reported after resurfacing total hip replacement (THRS). On the other hand, hip kinematics with standard total hip replacement (THR) is optimized with large diameter femoral heads (BFH-THR). The purpose of this study is to evaluate the functional outcomes of THRS and BFH-THR and correlate these results to bone preservation or the large femoral heads. Thirty-one patients were included in the study. Gait speed, postural balance, proprioception and overall performance. Our results demonstrated a non-statistically significant improvement in gait, postural balance and proprioception in the THRS confronting to BFH-THR group. THRS provide identical outcomes to traditional BFH-THR. The THRS choice as bone preserving procedure in younger patients is still to be evaluated.

摘要

据报道,表面置换全髋关节置换术(THRS)后髋关节运动学得到改善,骨质得以保留。另一方面,标准全髋关节置换术(THR)的髋关节运动学通过使用大直径股骨头(BFH-THR)得到优化。本研究的目的是评估THRS和BFH-THR的功能结果,并将这些结果与骨质保留或大股骨头相关联。31名患者纳入本研究。评估了步态速度、姿势平衡、本体感觉和整体表现。我们的结果表明,与BFH-THR组相比,THRS组在步态、姿势平衡和本体感觉方面有非统计学意义的改善。THRS与传统BFH-THR的结果相同。THRS作为年轻患者骨质保留手术的选择仍有待评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0992/3980157/d2b23f33564a/or-2014-1-5221-g001.jpg

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