摘要
脱位是全髋关节置换术后最常见的并发症之一,合适的髋臼、股骨假体角度和位置是降低脱位风险的关键。过去40多年里被视为金标准的Lewinnek安全区,因其仅关注静态的髋臼位置,忽略了股骨和骨盆运动对髋关节稳定性的影响,近来受到了越来越多的挑战。随着对股骨前倾角重要性的认识加深,联合前倾角的理念也逐渐流行。越来越多地聚焦于脊柱-骨盆-髋关节运动学和联动关系的研究催生了功能安全区。但上述安全区未能考虑患者解剖形态和运动学上的个体差异,所以整合患者个体解剖特征和脊柱-骨盆复合体运动学的个性化安全区备受期待。本文对全髋关节置换术中假体位置安全区的发展沿革与研究进展进行回顾与综述,以期为临床相关研究提供参考。
Dislocation is one of the most common complications of total hip arthroplasty.An appropriate positioning of acetabular and femoral prosthesis is paramount to reduce the risk of dislocation.Lewinnek safe zone,which has been regarded as the standard of prosthesis positioning over the last 40 years,has been challenged recently because it merely emphasises the static acetabular position and ignores the effect of femoral and pelvic motion on hip stability.As the understanding of the essential of femoral anteversion deepens,the concept of combined anteversion has begun to prevail.Increasing researches are focusing on the kinematics and interrelationship of spine-pelvis-hip conceptualised the functional safe zone.Safe zones described above fail to take into account the differences in morphology and kinematics of individual patients,therefore,the patient-specific safe zone based on anatomy of individual patient and kinematics of spine-pelvic complex is much anticipated.In this review,the history and progress of various safe zones of total hip arthroplasty were summarised.
作者
王启中
李辉
Wang Qizhong;Li Hui(The First Clinical Medical College of Shaanxi University of Chinese Medicine,Xianyang 712046,China;Honghui Hospital,Xi’an Jiaotong Uiversity,Xi’an 710054,China)
出处
《中华关节外科杂志（电子版）》
CAS
CSCD
2023年第2期261-266,共6页
Chinese Journal of Joint Surgery(Electronic Edition)
基金
国家自然科学基金(81601913)
关键词
关节成形术
置换
髋
髋脱位
Arthroplasty,replacement,hip
Hipdislocation
作者简介
通信作者:李辉,Email:lihui327@163.com
