摘要
目的探讨CFP柄假体行全髋关节置换术的中期疗效。方法选取CFP柄假体行全髋关节置换术患者32例（34髋），术前诊断：股骨颈骨折6例，股骨头坏死12例，骨性关节炎10例，强直性脊柱炎3例，色素沉着绒毛结节性滑膜炎1例。分别于术后10d、1个月、6个月、1年（以后每年）对髋关节功能和X线片表现进行随访。结果32例手术患者无一例手术感染或神经血管损伤等并发症，术后x线片提示股骨柄假体位置良好。髋关节功能从术前Harris评分平均32．6（20～53）分，恢复至术后平均95．3（90—100）分，无一髋需行翻修手术。术后半年Engh评分均在10分以上。结论CFP柄假体行全髋关节置换术中期疗效良好，可作为初次全髋置换术的选择之一。
Objective To investigate the medium-term efficacy of total hip replacement with CFP handle prosthesis. Methods Thirty-two patients （34 hips） undergoing total hip replacement with CFP handle prosthesis were selected. The preoperative diagnosis was： femoral neck fracture in 6 cases, femoral head necrosis in 12 cases, osteoarthritis in 10 cases, ankylosing spondylitis in 3 eases, and pigmentation villi nodular synovitis in 1 case. Ten days, 1 month, 6 months, and 1 year （a year later） after surgery, the hip joint function and X ray film performance were followed up. Results There was no complication such as infect and injury of blood vessel and nerve. Postoperative X ray film showed the femoral handle prosthesis position was good. The average Harris hip score was 32.6 （20 - 53） scores before surgery, and back to 95.3（90 - 100） scores after surgery, no patients needed revision surgery. Postoperative Engh score was above 10 scores after half a year. Conclusion The medium-term efficacy of total hip replacement with CFP handle prosthesis is good, and can be used as one of the choice of primary total hip replacement.
出处
《中国医师进修杂志》
2015年第12期917-919,共3页
Chinese Journal of Postgraduates of Medicine
关键词
关节成形术
置换
髋
股骨颈
治疗结果
Arthroplasty, replacement, hip
Femur femoral
Treatment outcome
作者简介
通信作者：杨沛彦，Email：ypy211@163．com
