CAJ | 학술논문

1996-03/2003-03纳入强直性脊杜炎合并股骨侧严重骨质疏松的髋关节病变患者17例(24髋),采用自体骨嵌压植骨结合非骨水泥型全髋关节置换治疗.手术时年龄20～52岁,平均35岁;采用Harris评分方法及X射线片观察进行临床疗效评定.17例患者24髋均获得完整随访,随访时间36～120个月,平均87个月.Harris评分从置换前平均34分提高到置换后平均86.4分,优良率87.5%.X射线片见股骨假体与股骨近段紧密压配;无假体感染及脱位.1髋出现5 mm的假体下沉,发生于置换后1年内,经过5年以上随访观察,假体未进一步下沉,并与骨质接触良好,目前无松动表现.提示骨质皱对非骨水泥假体置换的疗效影响较大,采用自体骨嵌压植骨技术进行骨质重建,可为强直性脊梓炎合并严重骨质疏松患者全髋关节置换提供了一种良好的解决方法,临床效果满意.
1996-03/2003-03납입강직성척두염합병고골측엄중골질소송적관관절병변환자17례(24관),채용자체골감압식골결합비골수니형전관관절치환치료.수술시년령20～52세,평균35세;채용Harris평분방법급X사선편관찰진행림상료효평정.17례환자24관균획득완정수방,수방시간36～120개월,평균87개월.Harris평분종치환전평균34분제고도치환후평균86.4분,우량솔87.5%.X사선편견고골가체여고골근단긴밀압배;무가체감염급탈위.1관출현5 mm적가체하침,발생우치환후1년내,경과5년이상수방관찰,가체미진일보하침,병여골질접촉량호,목전무송동표현.제시골질추대비골수니가체치환적료효영향교대,채용자체골감압식골기술진행골질중건,가위강직성척재염합병엄중골질소송환자전관관절치환제공료일충량호적해결방법,림상효과만의.
A total of 17 hip joint lesion patients (24 hips) combined with ankylosing spondylitis and severe osteoporosis from March 1996 to March 2003.They.received autologous impaction bone graft and cementless total hip replacement.They were 20-52 years old,averagely 35 years.Harris score and X-ray method were used to evaluate clinical outcomes.A total of 17 patients (24 hips) were followed up for 36-120 months,averagely 87 months.Harris score increased from averagely 34 points (preoperation) to averagely 86.4 points (postoperation),resulting in an excellent and good rate of 87.5%.Radiograph showed that femoral prosthesis was closely fixed to proximal segment of the femur,without prosthetic infection or dislocation.One hip suffered from 5-mm prosthetic subsidence within 1 year following replacement,and no further subsidence following over 5-year follow up.The prosthesis showed good contact to sclerotin,without loose.It is suggested that bone mass has great effects on cementtess prosthetic replacement.Autologous impaction bone graft for bone remodeling provides a good method for total hip replacement in patients combined with ankylosing spondylitis and severe osteoporosis.The clinical outcome is satisfactory.