| 骨盆倾斜对人工全髋关节置换术股骨偏心距影响的前瞻性研究 |
| 投稿时间：2014-12-08 修订日期：2014-12-25 点此下载全文 |
| 引用本文：杨洋,周小小,王琦,张先龙.骨盆倾斜对人工全髋关节置换术股骨偏心距影响的前瞻性研究[J].医学研究杂志,2015,44(7):128-131 |
| DOI：
10.11969/j.issn.1673-548X.2015.07.036 |
| 摘要点击次数: 861 |
| 全文下载次数: 904 |
|
|
| 中文摘要:目的 研究盆下型骨盆倾斜(infrapelvic obliquity ,IPO)对全髋关节置换术中股骨偏心距的影响,以进行临床分析。方法 通过收集在上海第六人民医院2013年4~6月期间行全髋关节置换(THA)患者共计98例,术前、术后骨盆前后位X线片,使用Image Pro Plus6.0测量术前及术后骨盆倾斜角、健侧及患侧股骨偏心距(femoral offset, FO)、内侧偏心距(medial offset,MO)、垂直偏心距(vertical offset, VO),以分析THA术中骨盆倾斜角对股骨偏心距的影响。结果 THA术后术侧FO为 28.50±7.74mm,健侧FO为29.36±9.51mm,术后术侧与健侧相比,患侧FO得到了重建(t=0.80,P=0.420)。股骨偏心距接近29(28.50±7.74)mm,ⅠC型骨盆倾斜所对应的FO明显较其他类型低(23.07±8.96mm)(P<0.05),较FO平均值减小约5.43mm。MO接近60(60.27±8.83)mm,ⅠC型所对应的MO较平均值小约6.16mm,ⅠC型与ⅠA、ⅡB、ⅡC 相比较,MO显著偏小(54.11±8.97mm)(P<0.05),而ⅠC型同ⅠB型相比较,差异无统计学意义(P=0.590)。各亚型之间VO(32.63±9.24mm)差异无统计学意义(P>0.05)。结论 对于ⅠC型骨盆倾斜患者THA术中股骨偏心距需增加约5mm才得以重建,内侧偏心距增加约6mm,其他各亚型骨盆倾斜THA术中股骨偏心距及内侧偏心距无需额外矫正。无需处理垂直偏心距。 |
| 中文关键词:骨盆倾斜 股骨偏心距 全髋关节置换术 |
| |
| Effect of Pelvic Obliquity on the Femoral Offset in the Total Hip Arthroplasty:a Prospective Study |
|
|
| Abstract:Objective To study the effect of infrapelvic obliquity (IPO)on the femoral offset in the total hip arthroplasty. Methods The standing preoperative and postoperative AP pelvic and hip radiographs of patients who underwent total hip arthroplasty (THA) during April to Jun 2014 in Department of Orthopaedics of Shanghai Sixth People's Hospital were were studied.Image Pro Plus 6.0 were applied to measure pre-and post-operative pelvic obliquity(PO),femoral offset(FO) of both hip joint,medial offset(MO) and vertical offset(VO). The effect of infrapelvic obliquity on the FO,MO,VO were analysed. Results After THA,the operative lateral FO were 28.50±7.74mm,and the healthy lateral FO were 29.36±9.51mm,and FO of operative lateral were reconstructed(t=0.80,P=0.420).Mean value of FO was about 29(28.50±7.74)mm, FO of typeⅠC was 5.43mm lower than other types(23.07±8.96mm)(P<0.05). Mean value of MO was about 60(60.27±8.83)mm.Decreased MO (mean,6.16mm) was also observed in typeⅠC.There was no significant difference of VO between all types. Conclusion A correction of the FO by 5mm and MO by 6mm is required in typeⅠC. Adjustment of FO and MO among all other types of PO is needless. There is no need to correct VO. |
| keywords:Pelvic obliquity Femoral offset Total hip arthroplasty |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
