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[成人髋关节先天性畸形的关节置换术治疗]

[Arthroplasty in the treatment of congenital anomalies of the hip in adults].

作者信息

Savić D, Krajcinović J, Jovanović A, Milicić A, Milankov M, Stanković M

机构信息

Institut za hirurgiju, Klinika za ortopedsku hirurgiju i traumatologiju, Medicinski fakultet, Novi Sad.

出版信息

Med Pregl. 1997 Mar-Apr;50(3-4):120-3.

PMID:9229683
Abstract

At the Clinic for Orthopedic Surgery and Traumatology in Novi Sad, 79 adult patients with osteoarthritic hip dysplasia underwent total joint replacement surgery in the period 1984-1993. 45 patients were followed-up for an average time of 4.2 years. The results obtained have been evaluated following the criteria of Postel-Merle-d'Aubigne's hip rating system. After surgery 37 (82.2%) patients had minimal or no pain at all, while the hip flexion was over 75 degrees in 35 (75.5%) patients. 9% of patients could not walk longer than 20 minutes with a flexion under 50 degrees. Firm footfall and slight limp in exhaustion occurred in 35 (75.5%) patients, while 7 (15.5%) patients were extremely unstable and were able to get about on crutches. The gathered results confirm that total hip replacement in patients with osteoarthritic dysplastic hip improves stability and hip joint movement as well as pain reduction.

摘要

在诺维萨德的矫形外科和创伤科诊所,1984年至1993年期间,79例患有骨关节炎性髋关节发育不良的成年患者接受了全关节置换手术。45例患者接受了平均4.2年的随访。按照Postel-Merle-d'Aubigne髋关节评分系统的标准对所得结果进行了评估。术后,37例(82.2%)患者疼痛轻微或完全没有疼痛,而35例(75.5%)患者的髋关节屈曲超过75度。9%的患者在髋关节屈曲低于50度时行走时间不能超过20分钟。35例(75.5%)患者出现脚步稳健但疲惫时略有跛行的情况,而7例(15.5%)患者极度不稳,只能依靠拐杖行动。收集到的结果证实,骨关节炎性发育不良髋关节患者进行全髋关节置换可改善稳定性、髋关节活动度并减轻疼痛。

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