| 外后侧小切口髋关节置换术治疗股骨头缺血性坏死的临床研究 |
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| 引用本文： | 朱宏涛,刘世清,张春,黄涛,吴慧文.外后侧小切口髋关节置换术治疗股骨头缺血性坏死的临床研究[J].现代生物医学进展,2013(31):6052-6056. |
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| 作者姓名： | 朱宏涛 刘世清 张春 黄涛 吴慧文 |
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| 作者单位： | [1]武汉大学人民医院骨科,湖北武汉430060 [2]武汉大学人民医院神经内科,湖北武汉430060 |
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| 基金项目： | 国家自然科学基金项H（11274279;11074222） |
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| 摘 要： | 目的：观察髋关节置换术治疗股骨头缺血性坏死临床可行性和疗效。方法：后侧入路小切口行全款关节置换术，选取55例患者作为临床研究对象共62髋，进行12个月以上随访平均随访（15．5±2．5）个月。结果：术后患者功能恢复较好，假体位置及周围组织结合良好，Harris评分比术前提高45分以上，临床效果值得肯定。结论：通过外后侧入路髋关节置换治疗股骨头缺血性坏死可达到预期疗效，术前的充分准备对手术成功具有积极作用，可以作为减轻患者自身痛苦和降低医疗费用临床治疗方式。
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| 关 键 词： | 股骨头坏死 全髋关节置换术 外后侧入路 |
Posterolateral Approach Mini-incision Total Hip Arthroplasty for Avascular Necrosis of the Femoral Head |
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| Institution: | ZHU Hong-tao, LIU Shi-qing, ZHANG Chun, HUANG Tao, WU Hui-we (1 Department of Orthopaedics, People＇s Hospital Aftiliated to Wuhan University, Wuhan, Hubei, 430060, China; 2 Department of Neurology, People＇s Hospital Aflfliated to Wuhan University, Wuhan, Hubei, 430060, China) |
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| Abstract: | Objective： The feasibility and efficacy ofposterolateral approach mini-incision total hip arthroplasty （THA） for late acascular necrosis of the femoral head（ANFH） was studied. Methods： Mini-incision THA was applied to 55cases（62hips）of late ANFH, The follow-up time averaged （15.5 ± 2.5） months. Results： Better functional recovery of postoperative patients, combined with good prosthesis location and the surrounding tissue, Harris score 45 points higher than that of preoperative, and the clinical effect is positive. Conclusions： Through the outer hip replacement back into the road treatment of femoral head avascular necrosis can reach expected effect, preoperative preparation plays a positive role for successful operation, relieve the patient＇s own the suffering and lower its cost of clinical treatment. |
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| Keywords: | Osteonecrosis of femoral head Total hip arthroplast Posterolateml approach |
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