全髋关节置换术后脱位的原因和处理

Causes and treatments on dislocation after total hip replacement

摘要:

目的对人工全髋关节置换的病例进行分析总结,探讨术后脱位的发生原因、预防和处理.方法回顾调查1995年1月～2001年6月我院进行人工全髋关节置换术152例(157髋).男73例,女89例;平均年龄56岁.对术后脱位患者术前、术后和随访期间的症状、体征等进行总结评价,对术前准备、术中术后处理及预防进行探讨.结果152例(157髋)患者中5例现已死亡,失访5例,其余142例(143髋)患者随访1.5～8.0年,平均4.1年.4例髋关节脱位,脱位率为2.74%.结论通过使用合适的股骨头假体,保持适当的前倾角度,正确的搬运方法可有效的减少脱位的发生.

Abstract:

Objective: To analyse and evaluate the treatment of total hip replacement(THR), to discuss the causes, prophylasis and treatment of dislocation after total hip replacent. Methods: 152 patients (157 hips) underwent THR from January 1995 to June 2001 in Xiangya Hospital. The series of patients included 73 male and 89 female, with an average age of 56 years old. The symptom and sign before and after operation during follow-up, preoperational preparation, transaction preopration and postoperation were evaluated. Results: Of the 152 cases (153 hip), 5 cases were dead, 5 cases lost follow-up, the others were followed up for mean 4.1 years (from 1.5 years to 8.0 years). The dislocation of the hip was in 4 cases, the rate of dislocation was 2.74%. Conclusion: With the use of appropriate size of femoral head and proper method of carry, to retain proper angle of abduction and anteversion, the rate of dislocation can be decreased effectively.