Konan S, Duncan C P
University College London Hospitals NHS Trust, 250 Euston Road, London NW1 2BU, UK.
Vancouver General Hospital, University of British Columbia, Vancouver, BC V5Z 4E3, Canada.
Bone Joint J. 2018 Jan;100-B(1 Supple A):17-21. doi: 10.1302/0301-620X.100B1.BJJ-2017-0571.R1.
Patients with neuromuscular imbalance who require total hip arthroplasty (THA) present particular technical problems due to altered anatomy, abnormal bone stock, muscular imbalance and problems of rehabilitation. In this systematic review, we studied articles dealing with THA in patients with neuromuscular imbalance, published before April 2017. We recorded the demographics of the patients and the type of neuromuscular pathology, the indication for surgery, surgical approach, concomitant soft-tissue releases, the type of implant and bearing, pain and functional outcome as well as complications and survival. Recent advances in THA technology allow for successful outcomes in these patients. Our review suggests excellent benefits for pain relief and good functional outcome might be expected with a modest risk of complication. Cite this article: 2018;100-B(1 Supple A):17-21.
因解剖结构改变、骨量异常、肌肉失衡及康复问题，需要进行全髋关节置换术（THA）的神经肌肉失衡患者存在特殊的技术难题。在这项系统评价中，我们研究了2017年4月之前发表的有关神经肌肉失衡患者THA的文章。我们记录了患者的人口统计学数据、神经肌肉病变类型、手术指征、手术入路、同期软组织松解、植入物和关节面类型、疼痛及功能结局以及并发症和生存率。THA技术的最新进展使这些患者能够获得成功的治疗效果。我们的评价表明，缓解疼痛的效果极佳，功能结局良好，且并发症风险适度。引用本文：2018;100-B(1 Supple A):17-21。
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