全髋关节置换后假体脱位危险因素的最新进展

doi:10.3969/j.issn.2095-4344.2934

中国组织工程研究 ›› 2020, Vol. 24 ›› Issue (36): 5864-5870.doi: 10.3969/j.issn.2095-4344.2934

• 骨与关节综述 bone and joint review • 上一篇下一篇

全髋关节置换后假体脱位危险因素的最新进展

朱东明1，张振1，张杰2，颜连启3

1大连医科大学，辽宁省大连市 116044；2中南大学湘雅二医院，湖南省长沙市 410012；3江苏省苏北人民医院关节外科中心，江苏省扬州市 225001

收稿日期:2020-04-11 修回日期:2020-04-15 接受日期:2020-05-13 出版日期:2020-12-28 发布日期:2020-10-27
通讯作者: 颜连启，主任医师，硕士生导师，副教授，江苏省苏北人民医院关节外科中心，江苏省扬州市 225001
作者简介:朱东明，男，1995年生，安徽省寿县人，汉族，大连医科大学在读硕士，主要从事关节外科方面的研究。
基金资助:
江苏省医学创新团队课题(CXTDB2017004)

Risk factors for prosthetic dislocation after total hip arthroplasty: recent progress

Zhu Dongming1, Zhang Zhen1, Zhang Jie2, Yan Lianqi3

1Dalian Medical University, Dalian 116044, Liaoning Province, China; 2The Second Xiangya Hospital of Central South University, Changsha 410012, Hunan Province, China; 3Joint Surgery Center of Subei People’s Hospital of Jiangsu Province, Yangzhou 225001, Jiangsu Province, China

Received:2020-04-11 Revised:2020-04-15 Accepted:2020-05-13 Online:2020-12-28 Published:2020-10-27
Contact: Yan Lianqi, Chief physician, Master’s supervisor, Associate professor, Joint Surgery Center of Subei People’s Hospital of Jiangsu Province, Yangzhou 225001, Jiangsu Province, China
About author:Zhu Dongming, Master candidate, Dalian Medical University, Dalian 116044, Liaoning Province, China
Supported by:
the Jiangsu Provincial Medical Innovation Team, No. CXTDB2017004

摘要/Abstract

摘要：

文题释义：

全髋关节置换：是指将人工假体，包含股骨部分和髋臼部分，利用骨水泥和螺丝钉固定在正常的骨质上，以取代病变的关节，重建患者髋关节的正常功能，是一种较成熟可靠的治疗手段。

脱位：指关节遭受外力作用，使构成关节的骨端关节面脱离正常位置，引起功能障碍。

背景：全髋关节置换后假体脱位是关节外科面临的难题，随着关节外科手术技术的快速发展，术后假体脱位的问题愈发受到重视。国内外研究发现，在术前评估与规划、手术方式以及术后康复中均存在潜在因素导致术后假体脱位的发生，对于相关危险因素的认识越来越全面。

目的：概述关于全髋关节置换后假体脱位危险因素的最新研究进展，为临床治疗提供参考。

方法：利用计算机检索CNKI、万方、PubMed及Embase数据库1970年1月至2019年9月的相关文章，检索词为“全髋关节置换术，假体，术后脱位，危险因素，total hip arthroplasty，prosthesis，postoperative dislocation，risk factors”。查阅相关文章，最终共纳入77篇文献进行结果分析。

结果与结论：①导致全髋关节置换后假体脱位的危险因素包括不全面的术前评估与规划、不合理的手术方式以及不科学的术后康复；②全髋关节置换后假体脱位会严重影响手术效果，因此在术前、术中及术后的各个环节都应采取预防措施，避免脱位的发生。

ORCID: 0000-0001-7346-2167(朱东明)

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

关键词: 骨, 关节, 髋, 髋关节置换, 假体, 脱位, 康复, 综述

Abstract:

BACKGROUND: Prosthetic dislocation after total hip arthroplasty is a problem faced by joint surgery. With the rapid development of joint surgery techniques, the problem of postoperative prosthetic dislocation has become increasingly important. Research by scholars in and outside China has found that there are potential factors in preoperative evaluation and planning, surgical methods and postoperative rehabilitation leading to the occurrence of postoperative prosthetic dislocation. The understanding of related risk factors is becoming more comprehensive.

OBJECTIVE: To summarize the latest research progress on the risk factors of prosthetic dislocation after total hip arthroplasty, and provide reference for clinical treatment.

METHODS: The computer was used to search CNKI, Wanfang, PubMed and Embase databases from January 1970 to September 2019. The search terms were “total hip arthroplasty, prosthesis, postoperative dislocation, risk factors”. Relevant articles were consulted, and finally 77 literatures were included to analyze the results.

RESULTS AND CONCLUSION: (1) The risk factors for postoperative dislocation after total hip arthroplasty include incomplete preoperative evaluation and planning, unreasonable surgical methods, and unscientific postoperative rehabilitation. (2) The prosthetic dislocation after total hip arthroplasty will seriously affect the surgical effect. Therefore, precautions should be taken in each link before, during and after the operation to avoid the occurrence of dislocation.

Key words: bone, joint, hip, hip arthroplasty, prosthesis, dislocation, rehabilitation, review

中图分类号:

朱东明, 张振, 张杰, 颜连启. 全髋关节置换后假体脱位危险因素的最新进展[J]. 中国组织工程研究, 2020, 24(36): 5864-5870.

Zhu Dongming, Zhang Zhen, Zhang Jie, Yan Lianqi. Risk factors for prosthetic dislocation after total hip arthroplasty: recent progress[J]. Chinese Journal of Tissue Engineering Research, 2020, 24(36): 5864-5870.

图/表（结果） 2

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全髋关节置换后假体脱位危险因素的最新进展

Risk factors for prosthetic dislocation after total hip arthroplasty: recent progress

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