[1]王明晶,蒋振刚,郭新军.近端涂层非骨水泥股骨柄在Dorr C型股骨骨质中应用的中期疗效[J].新乡医学院学报,2017,34(8):758-761.[doi:10.7683/xxyxyxb.2017.08.026]
 WANG Ming-jing,JIANG Zhen-gang,GUO Xin-jun.Mid-term application effect of proximally coated uncemented femoral stems in Dorr type C femoral bone[J].Journal of Xinxiang Medical University,2017,34(8):758-761.[doi:10.7683/xxyxyxb.2017.08.026]
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近端涂层非骨水泥股骨柄在Dorr C型股骨骨质中应用的中期疗效
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
34
期数:
2017年8
页码:
758-761
栏目:
临床研究
出版日期:
2017-08-05

文章信息/Info

Title:
Mid-term application effect of proximally coated uncemented femoral stems in Dorr type C femoral bone
作者:
王明晶蒋振刚郭新军
(新乡市中心医院骨科三,河南 新乡 453000)
Author(s):
WANG Ming-jingJIANG Zhen-gangGUO Xin-jun
(Department of Osteology,Xinxiang Central Hospital,Xinxiang 453000,Henan Province,China)
关键词:
全髋关节置换术非骨水泥柄Dorr C型骨质近端涂层中期疗效
Keywords:
total hip arthroplastyuncemented stemDorr type C boneproximally coatingmid-term effects
分类号:
R687.4
DOI:
10.7683/xxyxyxb.2017.08.026
文献标志码:
A
摘要:
目的 探讨Dorr C型股骨骨质采用近端涂层非骨水泥股骨柄实施全髋关节置换术(THA)的中期疗效。方法 回顾性分析新乡市中心医院2006年9月至2009年5月采用近端涂层股骨柄实施THA手术的53例(60髋)Dorr C型股骨骨质患者的临床资料。记录患者术后并发症发生情况;在末次随访中采用Harris评分对患者的临床效果进行评估;通过髋关节正位X线片考察髓腔填充、骨溶解、假体松动以及应力遮挡等情况。结果 共40例患者(43髋)获得4~9 a的中期随访,平均随访时间为(6.5±0.6)a。在末次随访时,无假体固定失败、假体松动以及再手术病例出现,亦未见假体周围骨折、感染、髋关节脱位及大腿疼痛等并发症;亦未见假体周围骨溶解、应力遮挡等情况出现。末次随访时患者平均髋关节Harris评分为(95.3±0.8)分,高于术前的(38.5±1.2)分(P<0.05),但与随访1 a时的髋关节Harris评分[(95.5±0.6)分]比较差异无统计学意义(P>0.05)。结论 Dorr C型股骨骨质患者采用近端涂层非骨水泥股骨柄实施THA手术的中期临床效果及功能良好,可实现假体的稳定固定。
Abstract:
Objective To investigate the mid-term effect of proximally coated cementless femoral stem in Dorr type C femoral bone for total hip arthroplasty(THA).Methods The clinical data of 53 patients (60 hips) with Dorr type C femoral bone who were treated with proximally coated cementless femoral stem in THA in Xinxiang Cintral Hospital from Septemper 2006 to May 2009 were analyzed retrospectively.The complications after operation were recorded.Clinical outcome was evaluated by Harris hip score at the last follow-up.The medullary cavity filling,osteolysis,prosthesis loosening and stress shielding of patients were observed by positive X-ray film of hip joints.Results A total of 40 patients (43 hips) were followed up for 4-9 a,the mean follow-up time was(6.5±0.6)a.At the final follow-up,no patient occurred implant fixation failure,prosthesis loosening and reoperation.There was no periprosthetic fracture,infection,dislocation of the hip,thigh pain and other complications occurred;the periprosthetic osteolysis,stress shielding was also not occurred.The average Harris hip score at the final follow-up was 95.3±0.8,which was significantly higher than that before operation(38.5±1.2)(P<0.05);but compared with Harris hip score(95.5±0.6) at the one year follow-up,the difference was not statistically significant (P>0.05).Conclusion The use of proximally coated cementless femoral stem in THA operation for patient with Dorr type C femoral bone have good mid-term clinical and functional effect and can stabilize the prosthesis.

参考文献/References:

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更新日期/Last Update: 2017-08-05