Skoff H D, Keggi K
Wexham Park Hospital, London, England.
Orthop Rev. 1986 Mar;15(3):154-9.
Controversy exists over the appropriate use of total hip arthroplasty in patients with significant neuromuscular disease. This study investigated the use of THR in neuromuscular disease patients. A criterion for patient inclusion was a diagnosis of mental retardation, cerebral palsy or Down's syndrome. The study population consisted of nine patients (12 hips), average age, 42 years. Average follow-up was 3.5 years.
(1) 100% of patients demonstrated decreased pain, expanded range of motion and improved overall function. (2) All institutionalized patients were cared for more easily. (3) There were no infections, dislocations or major complications.
Total hip arthroplasty is a reasonable and safe therapeutic option for the treatment of painful osteoarthritis of the hip in select patients with neuromuscular disease.
对于患有严重神经肌肉疾病的患者，全髋关节置换术的恰当应用存在争议。本研究调查了神经肌肉疾病患者中全髋关节置换术的使用情况。患者纳入标准为智力发育迟缓、脑瘫或唐氏综合征的诊断。研究人群包括9名患者（12髋），平均年龄42岁。平均随访时间为3.5年。
（1）100%的患者疼痛减轻、活动范围扩大且整体功能改善。（2）所有住院患者的护理变得更加容易。（3）无感染、脱位或重大并发症。
对于特定的神经肌肉疾病患者，全髋关节置换术是治疗髋部疼痛性骨关节炎的一种合理且安全的治疗选择。
