| 江渟,李业奎,张家宏.全髋关节置换术治疗股骨颈骨折中两种重建关节囊方式的比较.骨科,2014,5(2): 84-87. |
| 全髋关节置换术治疗股骨颈骨折中两种重建关节囊方式的比较 |
| Comparison of two kinds of joint capsule reconstruction methods in THA for the treatment of femoral neck fracture |
| 投稿时间：2014-01-28 |
| DOI：10.3969/j.issn.1674-8573.2014.02.006 |
| 中文关键词: 关节成形术 髋 股骨颈骨折 关节囊 |
| 英文关键词: Arthroplasty Hip Femoral neck fractures Joint capsule |
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| 中文摘要: |
| 目的 比较髋关节后外侧入路行人工全髋关节置换术治疗股骨颈骨折时重建关节囊两种不同方式的临床疗效。方法 收集自2007年1月至2013年5月的病例，其中关节囊沿股骨大转子后缘作斜“∪”形切开再行修复的归为对照组，保留后关节囊和股骨近端附着作斜“∩”形切开再行修复归为研究组。对两组髋关节及时稳定性、切口长度、手术时间、术中出血量、术后引流量，以及术后髋感染、髋脱位、影像资料、Harris评分进行比较。结果 两组病例一般资料、手术时间、切口长度、术中失血量等差异无统计学意义；术后引流量研究组少于对照组。术后髋臼假体外展和前倾角度差异无统计学意义，但对照组出现2例脱位，研究组未出现；与对照组比，Harris评分研究组提高，差异有统计学意义；未发现感染病例。结论 使用改进方法进行髋关节囊重建，在髋关节及时稳定性、脱位率和近期髋关节功能方面，均优于传统的重建方式。 |
| 英文摘要: |
| Objective To compare the clinical effectiveness of two kinds of joint capsule reconstruction methods in total hip arthroplasty (THA) via the posterolateral approach for the treatment of femoral neck fracture. Methods All the cases treated by THA with joint capsule reconstruction during January 2007 to May 2013 were colleced, and divided into two groups. The cases in control group were treated with capsule-cut along the femoral greater trochanter rim, presenting oblique “U” shape after cut. The cases in study group were treated with retaining capsule attachment to proximal femur, presenting oblique “∩” shape after cut. The data were analysed, including intraoperative hip stability in time, incision length, operation time, intraoperative blood loss, postoperative drainage volume, and postoperative hip prosthesis image data, hip infection rate, hip dislocation rate, Harris’s score. Conclusion The modified methods of reconstructing hip joint capsule in THA for femoral neck fracture is superior to conventional methods. They can improve intraoperative hip stability in time and hip joint function and reduce postoperative dislocation rate. |
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