本文選題：Jumbo臼杯　切入點(diǎn)：髖關(guān)節(jié)　出處：《山東大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：評(píng)估運(yùn)用Jumbo臼杯翻修髖臼骨缺損的早期臨床和影像學(xué)療效。材料及方法：回顧性分析了山東省立醫(yī)院骨關(guān)節(jié)外科2010年4月至2014年12月期間經(jīng)治的存在不同程度人工全髖關(guān)節(jié)置換術(shù)后髖臼骨缺損的23例患者(23髖),其中男11例,女12例,年齡54-68歲,平均59.5歲。22例患者為單側(cè)初次翻修,1例患者為單側(cè)第二次翻修。翻修原因：不同程度骨溶解伴假體松動(dòng)22例,髖關(guān)節(jié)置換術(shù)后感染1例。髖臼骨缺損按Paprosky分型,其中ⅡA型4例,ⅡB型6例,Ⅱ C型5例,Ⅲ A型4例,Ⅲ B型4例。其中5例采用雙錐面螺旋臼(63mm～72mm)進(jìn)行翻修,18例采用大號(hào)(52mm～68mm)鉭金屬臼杯聯(lián)合顆粒性打壓植骨、螺釘固定進(jìn)行翻修；術(shù)后隨訪應(yīng)用Harris髖關(guān)節(jié)評(píng)分標(biāo)準(zhǔn)評(píng)估髖關(guān)節(jié)翻修術(shù)后功能與狀態(tài),觀察有無(wú)并發(fā)癥發(fā)生,并拍骨盆正位片觀察假體位置、假體周圍有無(wú)骨溶解及移植骨愈合情況。結(jié)果：23例患者均獲得隨訪,隨訪時(shí)間4-57個(gè)月,平均隨訪21.78個(gè)月,術(shù)前Harris評(píng)分平均(37.39±6.77)分(25～47分),術(shù)后末次隨訪平均(84.04±4.07)分(77～91分),P0.01。X線片未發(fā)現(xiàn)臼杯松動(dòng)或內(nèi)固定移位,移植骨與宿主骨愈合良好,部分其交界處之間有連續(xù)性骨小梁通過(guò),僅有一例出現(xiàn)輕微骨吸收現(xiàn)象。隨訪期間患者全髖關(guān)節(jié)翻修術(shù)后疼痛消失或基本消失,無(wú)脫位、感染、排異反應(yīng)、神經(jīng)損傷等并發(fā)癥出現(xiàn)。結(jié)論：對(duì)于髖關(guān)節(jié)翻修術(shù)中存在髖臼骨缺損的患者,根據(jù)其缺損情況應(yīng)用Jumbo臼杯或聯(lián)合打壓植骨、螺釘固定,短期隨訪效果好,手術(shù)簡(jiǎn)便有效,可為髖臼假體提供早期穩(wěn)定。
[Abstract]:Objective: to evaluate the early clinical and imaging results of acetabular defect modified with Jumbo acetabular cup. Materials and methods: retrospective analysis was made on the differences between April 2010 and December 2014 in the treatment of osteoarticular surgery in Shandong Provincial Hospital. Among the 23 patients with acetabular bone defect after total hip arthroplasty, there were 11 males. 12 female patients (54-68 years old), mean 59.5 years old, 1 patient with unilateral primary revision and 1 patient with unilateral second revision. Revision causes: osteolysis with prosthesis loosening in 22 cases. According to Paprosky classification, there were 4 cases of type 鈪，

本文編號(hào)：1590910