全髋关节置换术后假体脱位的原因分析及护理对策研究

发布时间：2018-07-24 18:03

【摘要】：目的:研究全髋关节置换术后假体脱位的原因分析及处理对策。方法:本次研究对象2015年1月-2015年12月间在我院接受治疗的全髋关节置换患者80例,对术后脱位的4例患者的临床资料进行系统的分析,分析脱位的原因和处理措施。结果:4例脱位患者中,初次全髋关节置换术后脱位2例、翻修手术后脱位2例;既往髋部手术史患者3例;患者中脑部手术后出现精神异常1例,同时不配合本次治疗;所有患者的脱位方向均为后脱位;4例脱位患者均首先在麻醉下进行闭合复位,下肢采用牵引治疗,时间为21天左右,3例患者牵引治疗后获得稳定,并且未再出现复发性脱位,1例患者在牵引治疗后的90天内继发2次脱位,同时在复位中出现髋臼松动采用手术翻修髋臼调整外展角后获得稳定。结论:由于多种原因所引发的全髋关节置换术后假体脱位,护理人员须认真分析脱位原因,对患者加强护理,患者需卧床制动。
[Abstract]:Objective: to study the causes of dislocation of prosthesis after total hip arthroplasty (THR). Methods: from January 2015 to December 2015, 80 patients with total hip replacement received treatment in our hospital. The clinical data of 4 patients with postoperative dislocation were analyzed systematically, the causes of dislocation and the treatment measures were analyzed. Results among 4 cases of dislocation, 2 cases were dislocation after primary total hip replacement, 2 cases were dislocation after revision operation, 3 cases had previous history of hip surgery, 1 case had mental abnormality after brain operation, and 1 case did not cooperate with this treatment. The dislocation direction of all the patients was that 4 patients with posterior dislocation were treated with closed reduction under anesthesia, and the lower extremities were treated with traction. The time of traction treatment was 21 days or so in 3 patients, and the stability was obtained after traction treatment. There was no recurrence of recurrent dislocation in one case, and the dislocation occurred twice within 90 days after traction treatment, and the acetabular loosening occurred during the reduction, and the acetabular angle was adjusted by surgical revision. Conclusion: because of the dislocation of prosthesis after total hip replacement caused by various reasons, the nursing staff should carefully analyze the reasons of dislocation, strengthen the nursing care of the patients, and the patients should stay in bed and brake.
【作者单位】：盐城市第三人民医院骨科;
【分类号】：R473.6

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