Artificial hip joint replacement for the treatment of severe hip diseases

doi:10.3969/j.issn.2095-4344.2013.13.003

Abstract

Abstract:

BACKGROUND: Applying artificial hip joint replacement for the treatment of end-stage hip disease is difficult and involves multi-aspects, including the surgical approach, intraoperative osteotomy, prosthesis implantation and selection of type, There are a lot of controversies due to different scholarly opinions.
OBJECTIVE: To explore the methods and clinical effects of the artificial hip joint replacement in the treatment of end-stage hip disease.
METHODS: Retrospective analysis of 52 patients (57 hips) receiving artificial hip joint replacement was performed based on a long-term follow-up. The follow-up time was 14-86 months, 27 months in average. The preoperative and postoperative (last follow-up) visual analogue scale score and Harris hip score were recorded, analyzed and compared, and the results were statistically analyzed.
RESULTS AND CONCLUSION: The visual analogue scale score in 52 patients was decreased from preoperative (7.0±1.2) points to postoperative (2.0±0.7) points. Harris score was increased from preoperative (35.9±5.4) points to the last follow-up (89.7±3.1) points. The difference was statistically significant when compared with that before operation (P < 0.05). All the 52 patients after surgery could walk with crutches or walker ambulation, and all of them could be able to walk independently and take self-care after 3 months. X-ray assessment showed no loosening of the prosthesis, and achieved satisfactory results. Careful preoperative preparation and scientific and rigorous operation can prevent the hip prosthesis loosening, infection and pain after operation. Rehabilitation exercise after surgery is an important measure to reduce the postoperative pain and recover the function to the maximum extent.

Key words: bone and joint implants, artificial prosthesis, artificial hip joint, bone cement, forming, prosthesis loosening, pain after replacement, infection after replacement, complications after replacement, visual analog scale, Harris score, prosthesis replacement, photographs-containing paper of bone and joint implants

CLC Number:

R318

Li Guang-wei. Artificial hip joint replacement for the treatment of severe hip diseases[J]. Chinese Journal of Tissue Engineering Research, 2013, 17(13): 2297-2304.

Figures/Tables 7

References

[1] Mont MA,Maker DR,Smith JM,et al.Resurfacing is comparable to total hip arthroplasty at short-term follow-up. Clin Orthop Relat Res. 2009;467(1):66-71.

[2] Zhang XL, Jiang C, Chen YS. Beijing: The Publishing House of People’s Health. 2009:163-165. 张先龙,蒋矗,陈云苏.人工髋关节外科学[M].北京:人民军医出版社.2009:163-165.

[3] Wang J, Xing HP, Liu G. Dangdai Yixue. 2012;18(9):8-10. 王俊,邢海鹏,刘刚. 全髋关节置换术治疗老年股骨颈骨折临床分析[J].当代医学,2012,18(9):8-10.

[4] Tang LH, Jiao YX, Li WB. Linchuang Junyi Zazhi. 2011;39(3): 576-577. 唐丽华,焦裕霞,李五白.术中静注帕瑞昔布钠对老年患者髋关节置换术术后疼痛的影响[J].临床军医杂志,2011,39(3):576-577.

[5] Tang YN, Su D. Anmo yu Kangfu Yixue. 2012;3(1):55-56. 汤艳妮,苏丹.人工全髋关节置换术后的康复治疗体会[J].按摩与康复医学,2012,3(1):55-56.

[6] Zhang HN, LV CY, Xun H, et al. Zhongguo Zuzhi Gongcheng Yanjiu. 2012;16(4):626-629. 张海宁,吕成昱,徐浩,等.大直径金属/金属股骨头人工全髋关节置换治疗股骨头缺血坏死[J].中国组织工程研究,2012,16(4): 626-629.

[7] Xie M. Yang SH, XU WH. Linchuang Guke Zazhi. 2011;14(3): 278-280. 谢卯,杨述华,许伟华.新型短柄全髋关节置换手术技术及近期疗效观察[J].临床骨科杂志,2011,14(3):278-280.

[8] Jiang T, Zheng C, Xu JD, et al. Linchuang Guke Zazhi. 2012; 15(1):56-58. 蒋涛,郑冲,徐建达,等.金属大头全髋置换术的早期临床疗效观察[J].临床骨科杂志,2012,15(1):56-58.

[9] Sammer DM, Shin AY. Wrist surgery: management of chronic scapholunate and lunotriquetral ligament injuries. Plast Reconstr Surg. 2012;130(1):138e-156e.

[10] Masonis JL, Bourne RB. Surgical approach, abductor function, and total hip arthroplasty dislocation. Clin Orthop Relat Res. 2002;(405):46-53.

[11] Wang HT, Liu WJ, Liu KG, et al. Zhongguo Jiaoxing Waike Zazhi. 2007;15(3):231-232. 王海棠,刘万军,刘可贵,等.人工髋关节置换术中的软组织平衡问题[J]. 中国矫形外科杂志,2007,15(3):231-232.

[12] White RE Jr, Forness TJ, Allman JK, et al. Effect of posterior capsular repair on early dislocation in primary total hip replacement. Clin Orthop Relat Res. 2001;(393):163-167.

[13] Tian H, Zhang K, Liu Y, et al. Zhongguo Jiaoxing Waike Zazhi. 2008;16(3):185-187. 田华,张克,刘岩,等.全髋关节置换术后脱位的原因分析及处理[J].中国矫形外科杂志,2008,16(3):185-187.

[14] Shao M, Ge SQ, Li GL, et al. Sichuan Yixue. 2001;22(4):385- 386. 邵明,弋拾权,李贵林,等.人工股骨头置换术后髋关节疼痛原因分析[J].四川医学,2001,22(4):385-386.

[15] Tang XC, Xia P. Zhongguo Jiaoxing Waike Zazhi. 2003;11 (3-4): 274-275. 唐希初,夏平.人工髋关节置换术后顽固性疼痛的原因分析及治疗[J].中国矫形外科杂志,2003,11(3-4):274-275.

[16] Wang YS, Chen B, Li JW, et al. Zhengzhou Daxue Xuebao (Yixueban). 2012;47(2):251-253. 王义生,陈宾,李军伟,等.人工全髋关节置换术后双下肢长度的变化[J].郑州大学学报(医学版),2012,47(2):251-253.

[17] Konyves A, Bannister GC. The importance of leg length discrepancy after total hip arthroplasty. J Bone Joint Surg Br. 2005;87(2):155-157.

[18] Cameron HU. Managing length: the 'too long' leg. Orthopedics. 1997;20(9):791-792.

[19] Hu RY, Tian XB, Sun L, et al. Zhonghua Chuangshang Zazhi. 2011;27(7):622-626. 胡如印,田晓滨,孙立,等.93例同期双侧人工全髋关节置换术回顾性分析[J].中华创伤杂志,2011,27(7):622-626.

[20] Yan L, Xia J, Wei YB. Guoji Gukexue Zazhi. 2010;31(6):340- 342. 严亮,夏军,魏亦兵.髋臼前倾角研究进展[J]. 国际骨科学杂志, 2010,31(6):340-342.

[21] Lewinnek GE,Lewis JL,Tarr R,et al. Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am. 1978; 60(2):217-220.

[22] Barrack RL. Dislocation after total hip arthroplasty: implant design and orientation. J Am Acad Orthop Surg. 2003;11(2): 89-99.

[23] D'Lima DD, Urquhart AG, Buehler KO, et al. The effect of the orientation of the acetabular and femoral components on the range of motion of the hip at different head-neck ratios. J Bone Joint Surg Am. 2000;82(3):315-321.

[24] Wan DD, You J, Jiang WX. Zhongguo Jiaoxing Waike Zazhi. 2012;20(3):220-223. 万东东,尤佳,姜文学.全髋关节置换术后撞击征[J].中国矫形外科杂志,2012,20(3):220-223.

[25] Berkes MB, Cross MB, Shindle MK, et al. Traumatic posterior hip instability and femoroacetabular impingement in athletes. Am J Orthop (Belle Mead NJ). 2012;41(4):166-171.

[26] Malik A, Wan Z, Jaramaz B, et al. A validation model for measurement of acetabular component position. J Arthroplasty. 2010;25(5):812-819.

[27] Wan Z, Malik A, Jaramaz B, et al. Imaging and navigation measurement of acetabular component position in THA. Clin Orthop Relat Res. 2009;467(1):32-42.

[28] Zai JL, Weng XS. Zhonghua Waike Zazhi. 2011;49(4):366- 368. 翟吉良,翁习生. 髋关节置换术后腹股沟区疼痛研究进展[J].中华外科杂志,2011,49(4):366-368.

[29] Li JY, Guan GH, Li XF, et al. Zhongguo Gushang. 2012;25(1): 74-77. 李建有,管国华,李雄峰,等. 全髋关节置换术治疗Crowe Ⅳ型髋关节发育不良患者及围手术期并发症分析[J].中国骨伤,2012, 25(1):74-77.

[30] Liu HP, Ge CL, Li JM, et al. Zhongguo Shiyong Yiyao. 2012; 7(10):68-69. 刘汉平,葛崇林,李家民,等. 96 例人工全髋关节置换术的临床分析[J].中国实用医药,2012,7(10):68-69.