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來源資料
相關文獻
- Autograft Acetabular Reconstruction in Cementless Total Hip Arthroplasty
- Acetabular Allograft Reconstruction in Total Hip Arthroplasty: Preliminary Report with Clinical, Roentgenographic and Scintigraphic Analyses
- Acetabular Reconstruction with Autogenous Bone Grafting in Total Hip Arthroptasty
- 腦性麻痺導致髖關節脫臼之臨床探討
- Revision Hip Arthroplasty for Aseptic Loosening: Three Years of Experience
- 手術前衛教對人工髖關節置換術患者之成效
- Evaluation Femoral Head Bone Grafts Used for Acetabuloplasty in Total Hip Replacement
- 電腦斷層造影對髖臼骨折之評估
- Posterior Capsulorrhaphy in Primary Total Hip Arthroplasty
- 全人工髖關節置換術最近發展趨勢
頁籤選單縮合
題 名 | Autograft Acetabular Reconstruction in Cementless Total Hip Arthroplasty=人工髖關節置換術中以自體股骨頭重建髖臼 |
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作 者 | 陳志華; 施俊雄; 楊文一; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 28:6 民84.11-12 |
頁 次 | 頁442-448 |
分類號 | 416.61 |
關鍵詞 | 人工髖關節置換術; 自體股骨頭; 髖臼; Acetabular reconstruction; Autograft; Total hip arthroplasty; |
語 文 | 英文(English) |
中文摘要 | 從1986年一月到1991年六月,共有22個患者,因為髖臼頂嚴重缺損合併退化性關節炎而接受無骨泥全人工髖關節置換術合併以自體股骨頭重建髖臼。其中20個病患(共26個髖臼)手術滿兩年以上,平均追蹤時間是62個月。病人平均年齡為52歲。有23例術前診斷為次發性髖關節炎,2例為 創傷性髖關節炎,1例為先天性髖關節脫臼。臨床上髖功能評分由術前平均11.6分進步到最後一次追蹤平均17.1分。全部的移植骨在術後6到18個月(平均7.2個月)後都得到癒合。有一例在術後5年時發生明顯的高密度聚乙烯內嵌磨損而行重換此內嵌手術。有一例在X光上評估有鬆脫現象。有6位患者在移植近螺絲處發現有輕微骨頭吸收現象。有一例發生兩次脫臼。本研究結果顯示,對於欲施行全人工髖關節置換術而合併有嚴重髖臼頂缺損者,以切除下來自體股骨頭來重建髖臼以俾人工關節髖臼部份的固定,是一個可考慮的方法之一。 |
英文摘要 | From January 1986 to June 1991, resected aulltogenous femoral head bone grafts were used here to augment major acetabular deficiencies during primary cementness totall hip arthroplasty (THA) in 22 patients. Twenty patients (26 hips) with a minimal follow-up of 2 years (mean 62 months, range from 25 to 96 months) were reviewed. The average patient age was 52 (range, 21 to 63 years). The diagnosis was dysplastic hip with secondary osteoarthritis in 23 hips, 2 post-traumatic osteoarthritic hips, and one sequela of congenital dislocation of hip. The pre-operative hip ratings (modified d'Aubigne and Postel rating system) averaged 11.6 points (range, 9 to 13) and progressed to an average 17.1 points (range, 13 to 18) at the last follow-up. All grafts united roentgenographically with an average union period of 7.2 months (range, 6 to 12 months). One hip received revision of insert after marked polyethylene wear. One cup was definitely loose by radiographic criterna, but without revision because of this patient's refusal. Radiographic evidence of mild graft resorption was seen in six hips (23%). Dislocation occurred in one hip. Most patients were improved clinically by this procedure. This type of surgery can be chosen as an alternative method of treatment in patients with marked acetabular deficiency. |
本系統中英文摘要資訊取自各篇刊載內容。