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张会良,林志炯,韩海宁.重建股骨偏心距对人工髋关节置换术后髋关节功能的影响[J].中国医药科学,2022,(20):165-168        基金项目:
重建股骨偏心距对人工髋关节置换术后髋关节功能的影响
Effect of reconstruction of femoral eccentricity on hip function after total hip arthroplasty
  
DOI:
中文关键词:  重建股骨偏心距;人工髋关节置换术;髋关节功能;临床疗效
英文关键词:Reconstruction of femoral eccentricity; Total hip arthroplasty; Hip function; Clinical efficacy
作者单位
张会良,林志炯,韩海宁 广东省中山市中医院骨科,广东中山 528400 
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中文摘要:
      [摘要] 目的 探讨重建股骨偏心距对人工髋关节置换术后髋关节功能的影响分析。 方法 纳入对象为80例于2018年1月至2021年6月在广东省中山市中医院骨科接受人工髋关节置换术治疗的患者,根据股骨偏心距是否得到重建分为对照组与观察组。其中对照组患者30例,未得到重建,观察组患者50例,得到重建。比较两组髋臼外展角及前倾角、髋关节活动度、髋关节功能以及髋外展肌力臂差异。 结果 治疗前,观察组与对照组患者健侧以及患侧股骨偏心距比较,差异无统计学意义(P > 0.05);术后1 d观察组与对照组患者患侧股骨偏心距以及患侧与健侧的偏心距差值比较,观察组小于对照组,差异有统计学意义(P < 0.05);治疗前,观察组与对照组患者的髋关节活动度、髋关节Harris评分以及髋外展肌力臂比较,差异无统计学意义(P > 0. 05);术后半年、术后3个月以及术后1个月,观察组与对照组患者的髋关节活动度、髋关节Harris评分以及髋外展肌力臂比较,观察组大于对照组,差异有统计学意义(P < 0.05);治疗前、术后半年,观察组与对照组患者髋臼前倾角以及外展角的值比较,差异无统计学意义(P > 0. 05);观察组与对照组患者的术后双下肢不等长率比较,观察组小于对照组,差异有统计学意义(P < 0.05)。 结论 在人工髋关节置换术中重建股骨偏心距能够使髋关节功能显著提高,髋关节外展肌力臂增强,使患肢长度有效恢复,临床应用价值显著。
英文摘要:
      [Abstract] Objective To analyze the effect of reconstruction of femoral eccentricity on hip function after total hip arthroplasty (THA). Methods A total of 80 patients undergoing THA in the Department of Orthopedics at the Hospital of Traditional Chinese Medicine of Zhongshan City from January 2018 to June 2021 were selected as study subjects, and were divided into a control group and an observation group according to whether they had undergone reconstruction of femoral eccentricity. 30 patients who did not get the femoral eccentricity reconstructed were divided into the control group and 50 patients who got the femoral eccentricity reconstructed were divided into the observation group. The differences in acetabular abduction angle and anteversion angle, hip mobility, hip function and hip abductor lever arm were compared between the two groups. Results Before surgery, there was no statistically significant difference between the observation group and the control group in the femoral eccentricity on the healthy side and the affected side (P > 0.05). The difference of the femoral eccentricity on the affected side and the healthy side in the observation group was smaller than that in the control group one day after surgery, with statistically significant difference (P < 0.05). Before surgery, there were no statistically significant differences between the observation group and the control group in the hip mobility, Harris hip score, and hip abductor lever arm (P > 0.05). Six, three and one month(s) after surgery, the hip mobility, Harris hip score and strength of the hip abductor lever arm in the observation group were higher than those in the control group, with statistically significant differences (P < 0.05). Before surgery and six months after surgery, there were no statistically significant differences between the observation group and the control group in the values of acetabular abduction angle and anteversion angle (P > 0.05). The bilateral lower limb inequality rate in the observation group was lower than that in the control group after surgery, with statistically significant difference (P < 0.05). Conclusion Reconstruction of femoral eccentricity during THA can significantly improve the hip function, enhance the hip abductor lever arm, and effectively restore the length of the affected limb, and it is therefore of significant clinical application value.
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