摘要
目的观察全髋关节置换术治疗强直性脊柱炎髋关节强直的临床疗效。方法回顾性分析2010-01~2015-01该科采用全髋关节置换术治疗12例(20髋)强直性脊柱炎伴髋关节骨性强直的临床资料,比较手术前、后患者Harris评分、髋关节活动度。结果 12例均获随访,随访时间24~84个月,平均48.5个月。切口均一期愈合,未出现假体下沉、松动,1例(8.3%)发生脱位并发症,1例(8.3%)发生坐骨神经损伤并发症。5髋(25.0%)出现异位骨化,分别为Brooker分级Ⅰ级2髋,Ⅱ级2髋,Ⅲ级1髋。关节活动度由术前髋关节屈伸平均(12.9±5.6)°改善为(75.6±19.6)°,髋关节内收外展由术前平均(4.4±2.7)°改善为(24.5±8.6)°,Harris评分由术前(20.6±13.1)分改善为(71.9±9.3)分。结论全髋关节置换术治疗强直性脊柱炎髋关节强直能显著改善髋关节功能,矫正髋关节畸形。
Objective To explore the curative effect of total hip arthroplasty(THA)on treatment of ankylosing spondilitis and hip ankylosis.Methods A total of 12 cases(20 hips)with ankylosing spondylitis and hip joint stiffness underwent total hip arthoplasty from January 2010 to January 2015.Harris scores and hip range of motion were compared before and after the operation.Results All patients were followed up from 24 months to 84 months(mean 48.5 months).No incision-related complications were found.There were no prostheses migration and aseptic loosening.Joint dislocation occurred in one case and injury of sciatic nerve in one case.Heterotopic bone formation with Brooker I was found in 2 hips,BrookerⅡin 2 hips,and BrookerⅢin 1 hip.The Harris scores increased from(20.6±13.1)preoperatively to(71.9±9.3)postoperatively.The hip function improved significantly after the operation.The hip mean flexion range increased from(12.9±5.6)°preoperatively to(75.6±19.6)°postoperatively,and the mean range of abduction of hip joint increased from(4.4±2.7)°preoperatively to(24.5±8.6)°postoperatively.Conclusion THA can greatly improve the hip joint function and rectify the deformity of the hip joint in the patients with ankylosing spondilitis and hip ankylosis.
作者
甘锋平
江建中
谭海涛
谢兆林
林鑫欣
陈国平
李颖
黄圣斌
GAN Feng-ping;JIANG Jian-zhong;TAN Hai-tao;Xie Zhao-lin;Lin Xin-xin;Chen Guo-ping;Li Ying;Huang Sheng-bin(Department of Orthopaedic Surgery,the People′s Hospital of Guigang City,Guangxi 537100,China)
出处
《中国临床新医学》
2018年第3期254-257,共4页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
