|本期目录/Table of Contents|

[1]陶伟伟,朱建非,张 穹,等.股骨头无菌性坏死中高保留骨量技术应用在初次人工全髋关节置换的临床疗效[J].医学研究与战创伤救治(原医学研究生学报),2014,16(02):135-137，156.[doi:10.3969/j.issn.1672-271X.2014.02.007]
　TAO Wei-wei,ZHU Jian-fei,ZHANG Qiong,et al.To research the clinical efficacy impaction autogenous bone graft in the primary bio-total hip arthroplasty in the aseptic necrosis of head of femur[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2014,16(02):135-137，156.[doi:10.3969/j.issn.1672-271X.2014.02.007]
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股骨头无菌性坏死中高保留骨量技术应用在初次人工全髋关节置换的临床疗效()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第16卷
期数:
2014年02期
页码:
135-137，156
栏目:
出版日期:
2014-03-20

文章信息/Info

Title:
To research the clinical efficacy impaction autogenous bone graft in the primary bio-total hip arthroplasty in the aseptic necrosis of head of femur
作者:
陶伟伟; 朱建非; 张 穹; 丁 杰; 石朋文; 吴 琪
223001 江苏淮安，解放军82医院骨一科
Author(s):
TAO Wei-wei; ZHU Jian-fei; ZHANG Qiong; DING Jie; SHI Peng-wen; WU Qi.
The First Department of Orthopedics，82 Hospital of PLA,Huaian,Jiangsu 223001,China
关键词:
高保留骨量技术; 股骨头无菌性坏死; 初次全髋关节置换; 疗效
Keywords:
high retention of bone; aseptic necrosis of head of femur; primary total hip arthroplasty; curative effect
分类号:
R681.8
DOI:
10.3969/j.issn.1672-271X.2014.02.007
文献标志码:
A
摘要:
目的 探讨高保留骨量技术在股骨头无菌性坏死的初次人工全髋关节置换术的临床疗效。方法 2006年6月-2012年12月治疗的股骨头无菌性坏死患者全髋关节置换手术64例，根据治疗方法分为两组，观察组(高保留骨量的初次全髋关节置换术)32例，对照组(常规的初次全髋关节置换术)32例，均经6~36个月的随访，平均随访 18.7 个月，统计术后髋关节早期及末次随访时Harris评分及VAS评分，复查X线片观察股骨柄及髋臼松动情况并采用SPSS 15.0进行统计。结果 两组在早期的Harris评分及VAS评分无明显差别，而在随访末期的评分中差异有统计学意义。结论 高保留骨量技术在股骨头无菌性坏死的初次全髋关节置换中有明确的效果，临床疗效满意，其高保留骨量将逐渐成为今后关节置换的趋势。
Abstract:
Objective To discuss the clinical efficacy of impaction autogenous bone graft in the primary bio-total hip arthroplasty in aseptic necrosis of head of femur.Methods There were 64 cases aseptic necrosis of head of femur used total hip arthroplasty operation in our hospital during June 2006 to December 2012.Two groups are divided according to treatment methods,the observation group (impaction autogenous bone graft in primary total hip arthroplasty) 32 cases,and control group (simply primary total hip arthroplasty) 32 cases,respectively.All cases were follow-up from 6 months to 36 months (an average of 18.7 months).The hip Harris score and VAS score was analysed during the early and last follow-up,observing the femoral and acetabular loosening in the X-ray,and analysed by SPSS 15.0.Results The observation group and the control group showed no significant difference in the early Harris score and VAS score,there were statistically significant in the follow-up stage in the score.Conclusion Impaction autogenous bone graft in the aseptic necrosis of head of femur has a clear effect in primary total hip arthroplasty,the clinical effect is satisfactory,high retention bone will gradually become the future trend of joint replacement.

参考文献/References:

[1]俞新胜，汪 普，刘庆志，等.带旋髂深血管髂骨瓣治疗青壮年股骨头无菌性坏死13例分析[J].东南国防医药,2006,8(5):364-365.
[2]胥少汀，葛宝丰，徐印坎.实用骨科学[M].北京:人民军医出版社,2006:687-689.
[3]García-Rey E,Fernández-Fernández R,Durán D,et al.Reconstruc-tion of the rotation center of the hip after oblong cups in revision total hip arthroplasty[J].J Orthop Traumatol,2013,14(1):39-49.
[4]Boisgard S,Descamps S,Bouillet B.Complex primary total hip arthroplasty[J].Orthop Traumatol Surg Res,2013,99(1 Suppl):34-42.
[5]周利武,赵建宁,吴苏稼,等.成人髋臼发育不良的人工全髋关节置换[J].医学研究生学报,2006,19(3):250-251.
[6]Morag G,Zalzal P,Liberman B,et al.Outcom e of revision hip arthroplasty in patients with a previous total hip replacement for developmental dysplasia of the hip[J].J Bone Joint Surg(Br),2005,87(8):1068-1072.
[7]潘 兵,王兴中.全髋关节置换术中髋臼缺损的假体置换[J].东南国防医药,2005,7(6):407-409.
[8]刘 明,李佩佳,罗永忠,等.计算机辅助术前计划在全髋关节置换中的应用[J].中华外科杂志,2008,46(3):203-205.
[9]陶伟伟,朱建非,张 穹,等.同种异体骨植骨治疗四肢骨折临床疗效研究[J].中国骨与关节损伤杂志，2009,24(4):342-343.
[10] Langlais F,Lambotte JC,Collin P,et al.Long-term results of allograft composite total hip prostheses for tumors[J].Clin Orthop Relat Res,2003,9(414):197-211.
[11] 王茂源,赵建宁.全髋关节翻修术中骨缺损修复材料的研究进展[J].医学研究生学报,2005,18(12):1138-1141.
[12] Mears DC,Velyvis JH.A cute total hip arthroplasty for selected displaced acetabular fractures:two to twelve-year results[J].J Bone Joint Surg Am,2002,84-A(1):1-9.

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备注/Memo

备注/Memo:
南京军区重点科研课题(ZD12)
更新日期/Last Update: 2014-03-20