全髋关节置换术的软组织平衡

被引：35

作者：

史振才

李子荣

介国斌

孙伟

郭万首

林朋

绳厚福

岳德波

杨连发

机构：

[1] 中日友好医院骨科

[2] 骨坏死与关节保留重建中心

[3] 河南省舞阳钢铁公司职工医院骨科

[4] 骨坏死与关节保留重建中心北京

[5] 北京

来源：

中国矫形外科杂志 | 2005年 / 04期

关键词：

股骨; 偏心距; 全髋人工关节置换;

D O I：

暂无

中图分类号：

R687 [矫形外科手术学];

学科分类号：

1002 ; 100210 ;

摘要：

目的探讨THA术后股骨偏心距恢复的重要性及重建方法,恢复髋关节的软组织平衡。方法对73例单侧THA术患者进行随访,手术均采用髋关节后外侧入路。X线片上测量股骨偏心距及髋外展肌的力臂,使用Cybex测量髋外展肌力量,对X线片测量数据进行统计学处理。结果股骨偏心距是否能够重建与髋最大外展肌肌力存在显著性差别(t=3.859;P=0.002);髋关节外展活动范围与股骨偏心距存在明显回归相关关系(r=0.593,P<0.001)。结论THA术中重建股骨偏心距可以增加髋外展肌的力臂,改善髋外展肌的力量,增强髋关节的稳定性。术中应选用近似解剖颈干角的股骨柄假体,适当地增加假体颈的长度。

引用

页码：66 / 69

页数：4

共 8 条

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