CAJ | 학술논문

目的：研究偏心距重建对人工全髋关节置换术患者髋关节稳定性、活动度及关节功能的影响。方法将2012年4月~2014年5月在天津红桥医院接受髋关节置换术的120例患者纳入研究对象，根据偏心距重建情况筛选偏心距大于健侧组、偏心距小于健侧组、偏心距未重建组，每组各40例，检测髋关节稳定性、活动度及关节功能。结果①髋关节稳定性、活动度：术后3、6个月时偏心距大于健侧组的单腿支撑相骨盆冠状面倾斜角、髋关节活动角度均大于偏心距小于健侧组、偏心距未重建组[骨盆冠状面倾斜角：术后3个月：(1.08±0.21)o比(-1.12±0.14)o、(-1.29±0.20)o；术后6个月：(1.22±0.20)o比(-0.89±0.11)o、(-1.05±0.14)o。髋关节活动角度：术后3个月：(13.95±1.57)o比(8.42±0.94)o、(6.13±0.77)o；术后6个月：(16.32±1.91)o比(12.23±1.56)o、(8.82±0.91)o]，差异均有统计学意义(均P<0.05)。②髋关节功能：术后3、6、12个月，偏心距大于健侧组的Harris评分高于偏心距小于健侧组、偏心距未重建组[术后3个月：(89.12±9.04)分比(78.32±9.16)、(73.56±8.52)分；术后6个月：(90.37±11.32)分比(83.42±10.06)、(76.23±8.23)分；术后12个月：(93.68±12.32)分比(86.26±9.31)、(79.48±9.04)分]，差异均有统计学意义(均P<0.05)。结论人工全髋关节置换术中偏心距重建且偏心距大于健侧有助于提高髋关节稳定性、活动度，改善髋关节功能。
목적：연구편심거중건대인공전관관절치환술환자관관절은정성、활동도급관절공능적영향。방법장2012년4월~2014년5월재천진홍교의원접수관관절치환술적120례환자납입연구대상，근거편심거중건정황사선편심거대우건측조、편심거소우건측조、편심거미중건조，매조각40례，검측관관절은정성、활동도급관절공능。결과①관관절은정성、활동도：술후3、6개월시편심거대우건측조적단퇴지탱상골분관상면경사각、관관절활동각도균대우편심거소우건측조、편심거미중건조[골분관상면경사각：술후3개월：(1.08±0.21)o비(-1.12±0.14)o、(-1.29±0.20)o；술후6개월：(1.22±0.20)o비(-0.89±0.11)o、(-1.05±0.14)o。관관절활동각도：술후3개월：(13.95±1.57)o비(8.42±0.94)o、(6.13±0.77)o；술후6개월：(16.32±1.91)o비(12.23±1.56)o、(8.82±0.91)o]，차이균유통계학의의(균P<0.05)。②관관절공능：술후3、6、12개월，편심거대우건측조적Harris평분고우편심거소우건측조、편심거미중건조[술후3개월：(89.12±9.04)분비(78.32±9.16)、(73.56±8.52)분；술후6개월：(90.37±11.32)분비(83.42±10.06)、(76.23±8.23)분；술후12개월：(93.68±12.32)분비(86.26±9.31)、(79.48±9.04)분]，차이균유통계학의의(균P<0.05)。결론인공전관관절치환술중편심거중건차편심거대우건측유조우제고관관절은정성、활동도，개선관관절공능。
Objective To study the effect of eccentricity reconstruction on hip joint stability, activity and joint function of patients received artificial total hip joint replacement. Methods 120 cases of patients received artificial total hip joint replacement from April 2012 to May 2014 in Tianjin Hongqiao Hospital were enrolled, eccentricity greater than contralateral group (40 cases), eccentricity less than contralateral group (40 cases), eccentricity without reconstruction group (40 cases) were screened according to eccentricity reconstruction condition. Then hip joint stability, activity and joint function were detected. Results ①Hip stability, activity: single leg support phase angle of inclination of pelvis coronary and hip joint angle in eccentricity greater than contralateral group were higher than those of eccentricity less than contralateral group and eccentricity without reconstruction group [angle of inclination of pelvis coronary:postopera-tive three months: (11.08±0.21)o vs (-1.12±0.14)o, (-1.29±0.20)o; postoperative six months: (1.22±0.20)o vs (-0.89±0.11)o, (-1.05±0.14)o. Activity angle of hip joint: postoperative three months: (13.95±1.57)o v s (8.42±0.94 )o, (6.13±0.77)o; postoperative six months: (16.32±1.91)o vs (12.23±1.56)o, (8.82±0.91)], the differences were all statistically sig-nificant (all P<0.05).②Hip joint function:the Harris scores of eccentricity greater than contralateral group were high-er than those of eccentricity less contralateral group and eccentricity without reconstruction group [postoperative three months: (89.12±9.04) points vs (78.32±9.16), (73.56±8.52) points; postoperative six months: (90.37±11.32) points vs (83.42±10.06), (76.23±8.23) points; postoperative twelve months: (93.68±12.32) points v s (86.26±9.31), (79.48±9.04) points], the differences were all statistically significant (all P< 0.05). Conclusion Eccentricity reconstruction in total artificial total hip joint replacement is helpful to enhance stability and activity of hip, improve hip joint function.