全髋关节置换治疗化脓性髋关节炎愈后继发骨关节病的中期随访

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摘要目的探讨化脓性髋关节炎继发骨关节病的患者行全髋关节置换术的中期疗效。方法自2007年1月至2012年11月共收治青少年期发生髋部感染导致髋关节骨关节疾病7例患者，其中男4例，女3例；年龄34~54岁，平均年龄42.57岁。髋关节感染均发生在儿童期或青少年期，感染年龄为4~12岁，平均年龄6.86岁。感染愈后28~42年，平均35.71年。采用全髋关节置换术予以治疗。结果全部患者均获随访，随访时间41~80个月，平均52个月。7例术前下肢均有3~11 cm短缩，平均5.9 cm；术后下肢不等长改善为1~3 cm，平均1.5 cm。Harris评分由术前49.85分(27~70分)提高到术后90.29分(77~95分)。随访期间所有患者无假体松动、骨溶解。结论化脓性髋关节炎后遗骨关节病的患者行全髋关节置换术，疗效安全、满意，能有效缓解关节疼痛。

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关键词 ：感染, 骨关节病, 髋, 置换

Abstract：Objective To investigate the mid-term effect of total hip replacement in patients with osteoarthritis secondary to pyogenic hip arthritis.Methods From January 2007 to November 2012，7 adolescent patients with hip osteoarthritis caused by hip infection were treated，including 4 males and 3 females，aged 34~54 years，with an average age of 42.57 years.Hip joint infection occurred in childhood or adolescence.The age of infection ranged from 4 to 12 years，with an average age of 6.86 years.The average infection time was 35.71 years (28~42 years).Results All patients were followed up for 41 to 80 months，with an average of 52 months.The lower limbs of 7 patients were shortened 3~11 cm before operation，with an average of 5.9 cm.The unequal length of lower limbs improved 1~3 cm after operation，with an average of 1.5 cm.Harris score increased from 49.85 points (27~70 points) before operation to 90.29 points (77~95 points) after operation.During the follow-up period，no prosthesis loosening or osteolysis occurred in all patients.Conclusion Total hip arthroplasty is safe and satisfactory for patients with osteoarthritis sequelae of pyogenic hip arthritis，and can effectively relieve joint pain.

Key words： infection arthritis hip arthroplasty

通讯作者: 兰玉平

作者简介: 陶崎峰(1983－ )，男，副主任医师，四川攀枝花市中心医院骨科，617067。

引用本文:

陶崎峰，陈春雨，吴飞鹏，王洪平，兰玉平 *. 全髋关节置换治疗化脓性髋关节炎愈后继发骨关节病的中期随访[J]. 实用骨科杂志, 2019, 25(6): 500-504.
Tao Qifeng，Chen Chunyu，Wu Feipeng，et al. Mid-term Follow-up of Total Hip Arthroplasty for the Treatment of Osteoarthritis Secondary to Pyogenic Hip Arthritis. sygkzz, 2019, 25(6): 500-504.

链接本文:

http://www.sygkzz.com/CN/ 或 http://www.sygkzz.com/CN/Y2019/V25/I6/500

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