髋关节发育不良与全髋关节置换术的当前概念
Current concepts in developmental dysplasia of the hip and Total hip arthroplasty.
作者信息
Wang Yan
机构信息
Department of Orthopedics, Chinese PLA General Hospital, 28 Fuxing Road, Beijing, 100853, China.
出版信息
Arthroplasty. 2019 Aug 1;1(1):2. doi: 10.1186/s42836-019-0004-6.
Abstract
Developmental dysplasia of the hip (DDH) is a spectrum of pathology that involves dysplasia of both the acetabulum and the femur. If left untreated, it can develop to hip pain and osteoarthritis, which eventually require total hip arthroplasty (THA). A broad array of anatomical abnormalities of the acetabulum and femur, plus the younger age of DDH patients make THA a great challenge. Meticulous operation planning with various options is one of the most important prerequisites of a successful THA. This review presents the current concepts of acetabular and femoral reconstruction in THA for DDH, including high hip center, acetabular bone deficiency, highly porous metal, correction of femoral anteversion, femoral shortening osteotomy, stem selection, among others.
摘要
发育性髋关节发育不良（DDH）是一系列涉及髋臼和股骨发育异常的病理状况。如果不进行治疗，它会发展为髋关节疼痛和骨关节炎，最终需要进行全髋关节置换术（THA）。髋臼和股骨存在广泛的解剖学异常，再加上DDH患者较为年轻，使得THA成为一项巨大的挑战。采用多种方案进行细致的手术规划是成功进行THA的最重要前提条件之一。本综述介绍了DDH患者THA中髋臼和股骨重建的当前概念，包括高髋关节中心、髋臼骨缺损、高孔隙率金属、股骨前倾角矫正、股骨缩短截骨术、假体柄选择等。
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