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年轻患者的髋关节融合术。一项长期随访研究。

Hip arthrodesis in young patients. A long-term follow-up study.

作者信息

Sponseller P D, McBeath A A, Perpich M

出版信息

J Bone Joint Surg Am. 1984 Jul;66(6):853-9. doi: 10.2106/00004623-198466060-00005.

DOI:10.2106/00004623-198466060-00005
PMID:6234319
Abstract

We evaluated the results in fifty-three patients who had had a successful hip arthrodesis at least twenty years (average, thirty-eight years) prior to the study and who had been less than thirty-five years old at the time of operation. We determined the functional history of each patient and the current status of the opposite hip, the knees, and the back. Radiographs were made and each joint was rated according to standard clinical scales. Seventy-eight per cent of the patients were satisfied with the arthrodesis, and all were able to work. Fifty-seven per cent had some low-back pain and 45 per cent, some knee discomfort. Only seven patients (13 per cent) had had a total hip arthroplasty on the arthrodesed hip.

摘要

我们评估了53例患者的结果,这些患者在本研究前至少20年(平均38年)成功进行了髋关节融合术,且手术时年龄小于35岁。我们确定了每位患者的功能史以及对侧髋关节、膝关节和背部的当前状况。拍摄了X线片,并根据标准临床量表对每个关节进行评分。78%的患者对关节融合术满意,且所有人都能够工作。57%的患者有一些下腰痛,45%的患者有一些膝关节不适。只有7例患者(13%)在接受关节融合术的髋关节上进行了全髋关节置换术。

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