The curative effect of the double-sided cone spiral mortar Zweymüller combined with PLUS-SL micro-invasive handle in the treatment of femoral head necrosis complicated with secondary osteoarthritis
-
摘要: 目的:探讨使用ZweymÜller双锥面螺旋臼联合PLUS-SL微创柄治疗股骨头坏死继发骨关节炎疗效分析。方法:使用ZweymÜller双锥面螺旋臼假体联合PLUS-SL微创柄治疗股骨头坏死继发骨性关节炎患者50例(58髋)。所有髋臼内衬均采用高交联聚乙烯防脱位内衬,陶瓷球头,随访10~32个月。结果:50例患者术后疼痛基本消失,双下肢长度差异平均(1.2±0.51)cm,术后Harris评分较术前显著增高(P<0.01)。结论:ZweymÜller双锥面螺旋臼联合PLUS-SL微创柄治疗股骨头坏死继发骨关节炎可以达到良好的恢复关节功能的临床疗效。Abstract: Objective: To investigate the curative effects of double-sided cone spiral mortar Zweymüller combined with PLUS-SL micro-invasive handle in the treatment of femoral head necrosis complicated with secondary osteoarthritis.Methods: Fifty-eight hips(50 cases) with femoral head necrosis complicated with secondary osteoarthritis were treated with double-sided cone spiral mortar Zweymüller combined with PLUS-SL micro-invasive handle.All acetabulums were lined with high cross linking polyethylene dislocation and ceramic ball head.All patients were followed up for 10 to 32 months.Results: The postoperative pain disappeared in all patients.The difference of the lengths of both legs was(1.2±0.51) cm,the postoperative Harris score was significantly higher than that of before operation(P<0.01).Conclusions: The treatment of femoral head necrosis complicated with secondary osteoarthritis with double-sided cone spiral mortar Zweymüller combined with PLUS-SL micro-invasive handle can improve the recovery of the joint function.
-
Keywords:
- femoral head necrosis /
- osteoarthritis /
- spiral mortar /
- micro-invasive handle
-
-
[1] 吴敏, 官建中, 肖玉周, 等.多孔钽棒置入联合髓心减压治疗成人早期股骨头坏死近期疗效观察[J].蚌埠医学院学报, 2014, 39(5):590-592. [2] 林国叶, 李平生, 黄玉栋.双椎面螺旋臼全髋假体的临床应用与疗效观察[J].中国骨与关节损伤杂志, 2009, 24(12):1099-1100. [3] 郭予立, 史占军, 林本丹, 等.双锥面螺旋臼全髋关节系统治疗股骨头缺血坏死中远期疗效评估[J].广东医学, 2013, 34(2):418-420. [4] 王健, 史占军.Weill螺旋臼初次全髋置换的长期随访结果:15~20年病例随访研究[J].中国矫形外科杂志, 2011, 19(6):444. [5] 寇伯龙, 吕厚山, 林剑浩, 等.双锥面螺旋臼及加长矩型柄在髋关节翻修术中的应用[J].中华骨科杂志, 2003, 23(12):743-746. [6] 张绍安, 魏新军, 李智浩, 等.双锥面螺旋臼在髋臼翻修术中的应用[J].中国矫形外科杂志, 2013, 21(12):1240-1243. [7] 翁文杰, 邱旭升, 张海林, 等.Zweymüller系统全髋关节置换术治疗髋臼发育不良的中期疗效分析[J].中国骨伤, 2011, 24(2):158-161.
计量
- 文章访问数: 2922
- HTML全文浏览量: 297
- PDF下载量: 33