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股骨头肥大的实验研究——特别关注手术操作对髋关节的影响

[Experimental study of hypertrophy of the femoral head--with special reference to the effects of the surgical procedure on the hip joint].

作者信息

Andoh K

出版信息

Nihon Seikeigeka Gakkai Zasshi. 1985 Apr;59(4):443-57.

PMID:4031576
Abstract

This experimental study was performed to clarify how a surgical procedure to the hip joint causes hypertrophy of the femoral head. Young rabbits were used for this experiment. The following results were obtained. In the rabbits with sectioned ligamentum teres, some cases showed complete dislocation on X-ray. The incidence of the hypertrophy of the femoral head was very low in this group. Except in these rabbits with dislocation, the hypertrophy of the femoral head appeared in any group subjected to surgical procedure, and at especially high rates in those subjected to the section of ligamentum teres and/or edge resection of acetabular cartilage. In the cases in which the edge of the acetabular cartilage was resected, and in other cases of surgical procedure as well, acetabular dysplasia often resulted. In these cases the hypertrophy of the femoral head was observed more frequently than in others. In summary, surgical procedure to the hip joint and postoperative abnormal stress to the femoral head contribute to the development of the hypertrophy of the femoral head especially in the cases in which acetabular factors are not negligible.

摘要

本实验研究旨在阐明髋关节手术如何导致股骨头肥大。本实验使用了幼兔。获得了以下结果。在圆韧带切断的兔子中,部分病例在X射线下显示完全脱位。该组中股骨头肥大的发生率非常低。除了这些脱位的兔子外,在接受手术的任何组中都出现了股骨头肥大,尤其是在接受圆韧带切断和/或髋臼软骨边缘切除的组中发生率特别高。在髋臼软骨边缘被切除的病例以及其他手术病例中,髋臼发育不良经常导致。在这些病例中,观察到股骨头肥大比其他病例更频繁。总之,髋关节手术及术后股骨头的异常应力会导致股骨头肥大的发展,特别是在髋臼因素不可忽略的情况下。

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