CAJ | 학술논문

目的:总结多孔钽棒支撑植入在成人早期股骨头坏死治疗中的早期临床疗效.方法:2008年1月~2011年12月我院收治的成人股骨头缺血坏死早期患者(均为FicatⅠ、Ⅱ期)15例(18髋),男10例12髋,女5例6髋,26~55岁,平均38.6岁.均采用多孔钽棒支撑植入治疗.观察手术操作过程、及术后早期恢复情况,并在术前术后进行Harris 评分.结果:所有患者均获得随访8~32个月,平均18个月,患者术后疼痛及功能受限症状均明显缓解.至末次随访,术后6个月及术后1年Harris评分较术前均有不同程度的增加.统计结果显示差异均有统计学意义.讨论:多孔钽棒具有良好的生物相容性,手术操作简单、微创,对股骨头及软骨下骨板可提供安全、有效的力学支撑,多孔钽棒支撑植入术方法治疗股骨头坏死可明显改善 Harris评分.早期的临床效果令人满意.
목적:총결다공단봉지탱식입재성인조기고골두배사치료중적조기림상료효.방법:2008년1월~2011년12월아원수치적성인고골두결혈배사조기환자(균위FicatⅠ、Ⅱ기)15례(18관),남10례12관,녀5례6관,26~55세,평균38.6세.균채용다공단봉지탱식입치료.관찰수술조작과정、급술후조기회복정황,병재술전술후진행Harris 평분.결과:소유환자균획득수방8~32개월,평균18개월,환자술후동통급공능수한증상균명현완해.지말차수방,술후6개월급술후1년Harris평분교술전균유불동정도적증가.통계결과현시차이균유통계학의의.토론:다공단봉구유량호적생물상용성,수술조작간단、미창,대고골두급연골하골판가제공안전、유효적역학지탱,다공단봉지탱식입술방법치료고골두배사가명현개선 Harris평분.조기적림상효과령인만의.
Objective:Summary of porous tantalum rod implants in the adult avascular necrosis of the femoral head in the treatment of early clinical outcomes. Methods:From Jan 2008 to Dec 2011,15 patients(18 hips) with avascular necrosis of femoral head in adult patients at early stage were treated(Ficat type Ⅰ、Ⅱ). There were 10 males(12 hips) and 5 females(6 hips) with an age range of 26-55 years (38.6 years on average).All patients were treated by porous tantalum rod.Observed the operation process and early postoperative recovery,all patients were assessed with Harris score at the preoperative and postoperative. Results:All patients were followed up for 8~ 32 months(An average of 18 months). Patients with postoperative pain and functional limitations were significantly relieved.To the last follow-up, 6 months after the operation and after 1 year compared to preoperative Harris score increase in varying degrees.The statistical results showed that there was significant difference. Conclusion:Porous tantalum rod has good biological compatibility.The operation is simple, minimally invasive.It can provide safe, effective mechanical support for the femoral head and subchondral bone plate.Porous tantalum rod implantation method in the treatment of avascular necrosis of the femoral head can obviously improve the score of Harris.Early clinical effect is satisfactory.