强直性髋关节的历程：使用眼镜蛇钢板进行髋关节融合术的20年长期随访——当今的相关性
The Journey of an Ankylosed Hip: A 20 Year Long-Term Follow-up of an Hip Arthrodesis using Cobra Plate - The Present Day Relevance.
作者信息
Sivaramakrishnan Adithyaa, Ramanathan Ashok Thudukuchi, Menon P Gopinath
机构信息
Department of Orthopaedic Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
出版信息
J Orthop Case Rep. 2024 Dec;14(12):73-77. doi: 10.13107/jocr.2024.v14.i12.5024.
INTRODUCTION
Hip fusion surgeries even though uncommon have shown good functional outcomes in patients and have its own advantages over arthroplasty.
CASE REPORT
In this case report, we present a 62-year-old female, who underwent right hip arthrodesis using Cobra plate when she was 42 years, with a long-term 20 years follow-up, leading a functionally normal life, good patient satisfaction with acceptable quality of life.
DISCUSSION
Although hip fusion can limit the patient's range of motion, it confers the advantage of better and stable fixation, pain relief, and advantage of future conversion to hip arthroplasty if done within accepted limits.
CONCLUSION
Hip fusion surgeries have become very rare in recent times due to the advances made in arthroplasty surgeries. Literature evidences of long-term follow-up of hip arthroplasties are very few while hip fusion surgeries have a substantial literature evidence of showing good functional outcomes in patients.
引言
髋关节融合手术虽不常见，但已在患者中显示出良好的功能结果，且与关节成形术相比有其自身优势。
病例报告
在本病例报告中，我们介绍了一名62岁女性，她42岁时使用Cobra钢板进行了右髋关节融合术，经过20年的长期随访，她过着功能正常的生活，患者满意度高，生活质量尚可接受。
讨论
尽管髋关节融合会限制患者的活动范围，但它具有固定更好、更稳定、能缓解疼痛的优势，并且如果在可接受范围内进行，未来转换为髋关节成形术也有优势。
结论
由于关节成形术的进展，近年来髋关节融合手术已变得非常罕见。髋关节成形术长期随访的文献证据很少，而髋关节融合手术有大量文献证据表明患者功能结果良好。
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