Tri-Lock骨保留型股骨柄在初次全髋关节置换术中应用的短期疗效观察

发布时间：2018-06-16 05:22

本文选题：非骨水泥型 + 初次全髋关节置换　；参考：《中国矫形外科杂志》2017年11期

【摘要】：[目的]评价Tri-Lock骨保留型股骨柄(Tri-Lock BPS)应用于初次全髋关节置换术的短期疗效。[方法]回顾性分析2013年3月~2014年1月四川大学华西医院骨科关节外科使用Tri-Lock BPS假体进行初次全髋关节置换术治疗髋关节疾患210例(228髋),对比手术前后Harris髋关节评分、生命质量SF-12量表评分,分析影像学结果,记录与股骨内置物相关的并发症。[结果]至末次随访时,188例203髋(89.04%)获得随访,平均随访时间(29.50±5.98)个月(24~36个月),Harris评分由术前平均(38.60±6.12)分提高至末次随访时的(98.07±2.88)分,差异具有统计学意义(P0.001);其中197髋(97.04%)优,6髋(2.96%)良,优良率100%;患者术前生命质量SF-12量表PCS:(28.44±4.38)分,MCS:(53.25±5.11)分,末次随访时PCS:(52.93±2.42)分,MCS:(60.47±1.72)分,差异具有统计学意义,(P0.001);203髋股骨假体影像学资料均评定为稳定骨长入,未发现股骨柄周围透亮线、假体周围骨溶解或假体松动及假体柄下沉超过3 mm病例,无死亡及翻修病例,1例1髋(0.50%)术中安放股骨假体时发生股骨距劈裂,5例5髋(2.46%)出现小腿肌间静脉血栓,4例4髋(2.00%)出现偶发性股区痛。[结论]Tri-Lock BPS假体初始稳定性佳,早期骨长入良好,短期应用疗效满意,长期效果有待于进一步随访观察。
[Abstract]:[objective] to evaluate the short-term efficacy of Tri-Lock BPSs in primary total hip arthroplasty. [methods] from March 2013 to January 2014, 210 patients with hip diseases were treated with Tri-Lock BPS prosthesis in orthopedic department of Huaxi Hospital, Sichuan University. Harris hip score was compared before and after operation. Quality of life (QOL) SF-12 scale score, imaging results were analyzed, and complications associated with femoral implants were recorded. [results] 188 cases (203 hips, 89.04) were followed up. The average follow-up time was 29.50 卤5.98) months, the Harris score increased from 38.60 卤6.12 to 98.07 卤2.88 at the last follow-up, the difference was statistically significant (P 0.001, 197 hips 97.04). The quality of life scale PCS: 12 (28.44 卤4.38) and PCS: (52.93 卤2.42) were 53.25 卤5.11 and 52.93 卤2.42, respectively. The difference was statistically significant (P 0.001 / 203). Cases of periprosthetic osteolysis or loosening of prosthesis and sinking of prosthesis handle more than 3 mm, There was no death or revision in 1 case (1 hip) 0.50) the femoral distance splits occurred in 5 cases (5 hips) 2.46) 4 cases of intermuscular venous thrombosis of the leg (4 cases of 4 hips) and 2.00% of the femoral prosthesis (2. 00%) and incidental femoral area pain occurred in 5 cases (2. 46%). [conclusion] Tri-Lock BPS prosthesis has good initial stability, good bone growth in early stage and satisfactory effect in short term application.
【作者单位】：四川大学华西医院骨科;
【分类号】：R687.4

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