CAJ | 학술논문

目的：探讨全髋关节置换术后发生早期脱位的易发因素与防治。方法对我院行全髋关节置换术后的309例患者进行放射学测量和导致早期脱位的易发因素进行分析。通过半年随访了解患者是否有再次髋关节脱位。结果29例在手术后发生髋关节脱位。脱位的原因是由术后体位不当、假体股骨头大小、髋臼假体方向、手术入路、内收肌挛缩等造成的。结论多种危险因素共同引起全髋关节置换术患者早期脱位的发生，术中提高手术技术水平，术后患肢阿基米德保持正确体位、对患者进行教育指导等方法预防早期髋脱位。
목적：탐토전관관절치환술후발생조기탈위적역발인소여방치。방법대아원행전관관절치환술후적309례환자진행방사학측량화도치조기탈위적역발인소진행분석。통과반년수방료해환자시부유재차관관절탈위。결과29례재수술후발생관관절탈위。탈위적원인시유술후체위불당、가체고골두대소、관구가체방향、수술입로、내수기련축등조성적。결론다충위험인소공동인기전관관절치환술환자조기탈위적발생，술중제고수술기술수평，술후환지아기미덕보지정학체위、대환자진행교육지도등방법예방조기관탈위。
Objective Analysis of risk factors and preventive measures of early dislocation in total hip arthroplasty.Methods From 309 cases of total hip replacement patients in our hospital are analyzed and take appropriate treatment measures according to the radiological measurement and early dislocation of the hip joint dislocation situation. Early dislocation were treated with manual reduction and external fixation under anesthesia.the reset difficultiesis are required reoperation or revision. Through the half year follow-up,to confirm whether the patient had hip dislocation.Results There were 29 cases of dislocation of hip joint after operation in 309 patients.The reason of dislocation are the improper body position、femoral head prosthesis size、the acetabular component orientation、operation approach、adductor contracture.Conclusion Factors may cause the occurrence of early dislocation after total hip arthroplasty.Early dislocation phenomenon is stopped by the correct posture,improve the technical level,education and guidance to patients.