Harris窝及髋臼切迹与髋臼中心点的应用解剖和相关性研究

被引:18
作者
周建生
凌遵龙
王志岩
张长春
官建中
吴敏
丁海
周新社
机构
[1] 安徽蚌埠,蚌埠医学院第一附属医院骨科组织移植安徽省重点实验室
关键词
髋臼; Harris窝; 髋臼切迹; 髋臼中心点; 应用解剖;
D O I
暂无
中图分类号
R687.4 [关节手术]; R322.7 [运动器官];
学科分类号
100107 [人体解剖与组织胚胎学(人体解剖学、组织与胚胎学)]; 100220 [骨科学];
摘要
目的: 观察Harris窝及髋臼切迹与髋臼中心点的解剖学特点及其相关性, 为人工全髋关节置换和翻修术中髋臼假体的正确安放和重建髋关节旋转中心提供解剖学依据。方法: 对20具40侧成人防腐骨盆标本, 行Harris窝、髋臼切迹以及髋臼切迹中点与髋臼中心点的位置关系进行观测, 论证其相关性。结果: Harris窝及髋臼切迹与髋臼中心点的位置关系相对恒定, 髋臼中心点位于Harris窝窝内头侧接近关节软骨面处;正常髋臼切迹和髋臼中心点的连线形成一个以髋臼切迹为底边的近似等腰三角形, 髋臼中心点位于髋臼切迹连线的垂直平分线上方, 男性(25.61±1.11)mm, 女性(25.42±1.09)mm。髋臼切迹中点和髋臼中心点的距离与髋臼切迹的长度呈正相关。结论: Harris窝及髋臼切迹与髋臼中心点的解剖关系相对恒定, 可为人工全髋关节置换及翻修术确定髋臼中心点, 正确的安放髋臼假体提供依据。
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