Wang Sisi, Zeng Ming, Zhang Xianghong, Liu Tang
Deparment of Orthopedics, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2018 Jan 28;43(1):54-57. doi: 10.11817/j.issn.1672-7347.2018.01.009.
To explore the clinical effect of total hip replacement with soft tissue release and true acetabulum reconstruction on treating osteoarthritis secondary to severe development dysplasia of the hip. Methods: From January 2005 to January 2011, 23 hips in 21 patients with osteoarthritis secondary to Crowe III development dysplasia of the hip underwent total hip arthroplasty with soft tissue release and true acetabulum reconstruction. There were 18 females and 3 males. The age was (45.1±13.2) years. Two patients underwent bilateral total hip arthroplasty (THA) and 19 cases underwent unilateral hip. The Harris hip score was 39.7±5.6. Results: The duration of follow up was (110±46) months. The symptoms of patients were relieved, and all the patients' femur head recovered to the true acetabulum after soft tissue released. Sciatic nerve paralysis occurred in one patient, who recovered after 3 months. All patients showed restoration of limb length, while the limb-length discrepancy was (11.0±3.5) mm. The post-operation Harris hip score was 87.2±5.9. Conclusion: Total hip arthroplasty with soft tissue release and true acetabulum reconstruction was an effective method in treating osteoarthritis secondary to Crowe III development dysplasia of the hip and was a challenging work to the orthopedic surgeon. It was critical the surgeon to plan the operative intervention carefully.
探讨软组织松解及真臼重建的全髋关节置换术治疗重度发育性髋关节发育不良继发骨关节炎的临床疗效。方法：2005年1月至2011年1月，对21例Crowe III型发育性髋关节发育不良继发骨关节炎患者的23髋行软组织松解及真臼重建的全髋关节置换术。其中女性18例，男性3例。年龄（45.1±13.2）岁。2例行双侧全髋关节置换术，19例行单侧髋关节置换术。Harris髋关节评分39.7±5.6。结果：随访时间（110±46）个月。患者症状缓解，软组织松解后所有患者股骨头均复位至真臼。1例患者出现坐骨神经麻痹，3个月后恢复。所有患者肢体长度均恢复，肢体长度差异为（11.0±3.5）mm。术后Harris髋关节评分为87.2±5.9。结论：软组织松解及真臼重建的全髋关节置换术是治疗Crowe III型发育性髋关节发育不良继发骨关节炎的有效方法，对骨科医生来说是一项具有挑战性的工作。外科医生仔细规划手术干预至关重要。
