中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (52): 9702-9706.doi: 10.3969/j.issn.2095-4344.2012.52.003

• 人工假体 artificial prosthesis • 上一篇    下一篇

髓腔闪烁指数在全髋关节置换测量中的意义

李毅中，李建龙，林金矿，姚学东，庄华烽，俞海明，潘缘城，郭良瑞   

  1. 福建医科大学附属第二医院骨科，福建省泉州市 36200
  • 出版日期:2012-12-23 发布日期:2013-03-12
  • 作者简介:李毅中★，男，1961年生，福建省泉州市人，畲族，1988年中国协和医科大学毕业，硕士，教授，主任医师，主要从事关节外科的研究。 doctorlyz@sina.com

Significance of canal flare index measurement in total hip arthroplasty

Li Yi-zhong, Li Jian-long, Lin Jin-kuang , Yao Xue-dong, Zhuang Hua-feng, Yu Hai-ming, Pan Yuan-cheng, Guo Liang-rui   

  1. Department of Orthopedics, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 36200, Fujian Province, China
  • Online:2012-12-23 Published:2013-03-12
  • About author:Li Yi-zhong★, Master, Professor, Chief physician, Department of Orthopedics, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 36200, Fujian Province, China doctorlyz@sina.com

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552

被引次数

9

摘要：

背景：以髓腔闪烁指数为基础的股骨髓腔分型与全髋关节股骨柄的存活率相关。
目的：研究年龄和常见病种股骨颈骨折、股骨头坏死和骨性关节炎的髓腔闪烁指数分布。
方法：回顾性评估100例全髋关节置换患者的股骨近端X射线片，测量股骨髓腔闪烁指数，比较各年龄组和各病种髓腔闪烁指数。
结果与结论：髓腔闪烁指数：<50岁组为3.82±1.20；50-59岁组为3.46±0.99；60-69岁组为3.28±0.75；70-79岁组为2.95±0.69；≥80岁组为 2.94±0.59。股骨颈骨折组髓腔闪烁指数为2.74±0.53；股骨头坏死组髓腔闪烁指数为3.45±1.04；骨性关节炎组髓腔闪烁指数为3.50±0.69。提示髓腔闪烁指数对指导全髋关节置换假体选择有帮助。

关键词: 髓腔闪烁指数, 全髋关节置换, 年龄, 股骨颈骨折, 股骨头坏死, 骨性关节炎

Abstract:

BACKGROUND: Survival rate of the femoral stem in patients with total hip arthroplasty is closely related with the femoral canal type classified with canal flare index.
OBJECTIVE: To study the canal flare index distribution in the patients with different ages and in the patients with total hip arthroplasty treated for femoral neck fracture, femoral head necrosis or osteoarthritis.
METHODS: The retrospective evaluation of the X-ray film of the proximal femur was performed on 100 patients with total hip arthroplasty. The canal flare index was measured and compared among the age groups and common three diseases.
RESULTS AND CONCLUSION: The canal flare index was 3.82±1.20 in the group aged < 50 years, 3.46±0.99 in the group aged between 50 and 59 years, 3.28±0.75 in the group aged between 60 and 69 years, 2.95±0.69 in the group aged between 70 and 79 years, and 2.94±0.59 in the group aged ≥ 80 years. The canal flare index was 2.74±0.53 in femoral neck fracture group, 3.45±1.04 in the group of femoral head necrosis and 3.50±0.69 in the osteoarthritis group. The canal flare index is helpful to the preoperative selection of the prosthesis in total hip arthroplasty.

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