中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (9): 1543-1546.doi: 10.3969/j.issn.1673-8225.2012.09.006

• 人工假体 artificial prosthesis • 上一篇    下一篇

全髋关节置换治疗氟性髋关节重度骨关节炎*★

苏维敏1，刘日光1，叶  川1，于燕妮2，官志忠2   

  1. 1贵阳医学院附属医院骨科，贵州省贵阳市 550004；2贵阳医学院，贵州省贵阳市
    550004
  • 收稿日期:2011-11-22 修回日期:2011-12-29 出版日期:2012-02-26 发布日期:2012-02-26
  • 通讯作者: 刘日光，主任医师，教授，医学博士，硕士生导师，贵阳医学院附属医院骨科，贵州省贵阳市 550004 liuriguang5629519@tom.com
  • 作者简介:苏维敏★，男，1976年生，湖北省枝江市人，汉族，贵阳医学院在读硕士，主治医师，主要从事关节外科研究。 swm931142625@163.com
  • 基金资助:

    国际科技合作重大项目(2010DFB30530)，项目名称：地方性氟中毒发病机制及防治研究。

Total hip arthroplasty for the treatment of severe hip osteoarthritis due to fluorosis 

Su Wei-min1, Liu Ri-guang1, Ye Chuan1, Yu Yan-ni2, Guan Zhi-zhong2   

  1. 1Department of Orthopedics, Hospital of Guiyang Medical College, Guiyang  550004, Guizhou Province, China; 2Guiyang Medical College, Guiyang  550004, Guizhou Province, China
  • Received:2011-11-22 Revised:2011-12-29 Online:2012-02-26 Published:2012-02-26
  • Contact: Liu Ri-guang, Doctor, Chief physician, Professor, Master’s supervisor, Department of Orthopedics, Hospital of Guiyang Medical College, Guiyang 550004, Guizhou Province, China liuriguang5629519@tom.com
  • About author:Su Wei-min★, Studying for master’s degree, Attending physician, Department of Orthopedics, Hospital of Guiyang Medical College, Guiyang 550004, Guizhou Province, China swm931142625@163.com
  • Supported by:

    Major Project of International Scientific and Technological Cooperation, No.  2010DFB30530*

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摘要：

背景：关节置换是目前治疗氟性髋关节重度骨关节炎的有效方法之一。
目的：分析全髋关节置换治疗氟性髋关节重度骨关节炎的策略及疗效。
方法：采用生物型假体行全髋关节置换治疗5例氟性髋关节重度骨性关节炎患者。
结果与结论：所有患者伤口均一期愈合；置换后1周摄X射线片示假体在位。所有病例平均随访13.8个月，未见假体松动下沉。置换后3个月Harris评分平均83.6分，6个月Harris评分平均87.8分，与置换前均分38.4分相比明显改善；发生异位骨化2例，按Brooker分级Ⅰ、Ⅱ级各1例。说明全髋关节置换治疗氟性髋关节重度骨关节炎短期无假体松动及下沉现象，关节功能改善优良，但置换后注意预防异位骨化。
关键词：氟骨症；髋关节骨关节炎；全髋关节置换；策略；疗效
doi:10.3969/j.issn.1673-8225.2012.09.006

关键词: 氟骨症, 髋关节骨关节炎, 全髋关节置换, 策略, 疗效

Abstract:

BACKGROUND: Now, total hip arthroplasty (THA) is one of the effective methods for the treatment of severe hip osteoarthritis due to fluorosis.
OBJECTIVE: To investigate the strategies and efficacy of THA for the treatment of severe hip osteoarthritis due to fluorosis.
METHODS: A total of five cases with severe hip osteoarthritis due to fluorosis were treated with THA using biological prosthesis. 
RESULTS AND CONCLUSION: All incisions were healed in one stage. Position of the prosthesis was good confirmed by X-rays observation at 1 week after operation. All the cases were followed-up for averagely 13.8 months. Loosening and sinking of the prosthesis were not found during the follow-up. The average Harris scores were 83.6 and 87.8 points at postoperative 3 and 6 months respectively, which was improved as compared with preoperative score (38.4 points). Heterotopic ossification occurred in two cases, one was Brooker degree Ⅰand another was degree Ⅱ. THA is an effective method to treat severe hip osteoarthritis due to fluorosis, which can significantly improve joint function and has few complications. Heterotopic ossification should be prevented after the operation.

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