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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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

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［1］Nunn TR，Cheung WY，Rollinson PD.A prospective study of pyogenic sepsis ofthe hip in childhood［J］.J Bone Joint Surg(Br)，2007，89(1)：100-106.
［2］Kim YH，Oh SH，Kim JS.Total hip arthroplasty in adult patients who had childhood infection of the hip［J］.J Bone Joint Surg(Am)，2003，85(2)：198-204.
［3］Kim YH，Oh SH，Kim JS.Primary total hip arthroplasty with a second-generation cementless total hip prosthesis in patients younger than fifty years of age［J］.J Bone Joint Surg(Am)，2003，85(1)：109-114.
［4］Laforgia R，Murphy JC，Redfern TR.Low friction arthroplasty for old quiescent infection of the hip［J］.J Bone Joint Surg(Br)，1988，70(3)：373-376.
［5］Zhang L，Li Y，Guo X，et al.Mid-term results of total hip arthroplasty for osteoarthritis secondary to hip sepsis［J］.Zhongguo Xiufu Chongjian Waike Zazhi，2014，28(2)：218-222.
［6］Hardinge K，Cleary J，Charnley J.Low-friction atrhroplasty for healed septic and tuberculous arthritis［J］.J Bone Joint Surg(Br)，1979，61(2)：144-147.
［7］Le Dantec L，Maury F，Flipo RM，et al.Peripheral pyogenic arthritis.A study of one hundred seventy-nine cases［J］.Rev Rhum Engl Ed，1996，63(2)：103-110.
［8］Morgan DS，Fisher D，Merianos A，et al.An 18 year clinical review of septic arthritis from tropical Australia［J］.Epidemiol Infect，1996，117(3)：423-428.
［9］Ryan MJ，Kavanagh R，Wall PG，et al.Bacterial joint infections in Englang and Wales：analysis of bacterial isolates over a four year period［J］.Br J Rheumatol，1997，36(3)：370-373.
［10］Spangehl MJ，Masri BA，O’Connell JX，et al.Prospective analysis of preoperative and intraoperative investigations for the diagnosis of infection at the sites of two hundred and two revision total hip arthroplasties［J］.J Bone Joint Surg(Am)，1999，81(5)：672-683.
［11］Schinsky MF，Della Valle CJ，Sporer SM，et al.Perioperative testing for joint infection in patients undergoing revision total hip arthroplasty［J］.J Bone Joint Surg(Am)，2008，90(9)：1869-1875.
［12］Ottink KD，Wouthuyzen-Bakker M，Kampinga GA，et al.Puncture protocol in the diagnostic work-up of a suspected chronic prosthetic joint infection of the hip［J］.J Arthroplasty，2018，33(6)：1904-1907.
［13］Qu X，Zhai Z，Wu C，et al.Preoperative aspiration culture for preoperative diagnosis of infection in total hip or knee arthroplasty［J］.J Clin Microbiol，2013，51(11)：3830-3834.
［14］Malhotra R，Morgan DA.Role of core biopsy in diagnosing infection before revision hip arthroplasty［J］.J Arthroplasty，2004，19(1)：78-87.
［15］彭伟秋，张祥洪，李富明，等.S-ROM假体初次全髋关节置换治疗合并股骨近端畸形的髋关节晚期病变［J］.实用骨科杂志，2018，24(3)：274-277.
［16］Pagnano W，Hanssen AD，Lewallen DG，et al.The effort of superior placement of the acetabular component on the rate of loosening after total hip arthroplasty ［J］.J Bone Joint Surg(Am)，1996，78(7)：1004.
［17］毛宾尧，胡裕桐，司全明，等.髋关节发育不良的分型和植骨髋臼成形人工全髋关节置换［J］.现代实用医学，2004，16(10)：580-584.
［18］Bracken J，Tran T，Ditchfield M.Developmental dysplasia of the hip：controversies and current concepts［J］.J Paediatr Child Health，2012，48(11)：963-972.
［19］Eskelinen A，Helenius I，Remes V，et al.Cementless total hip arthroplasty in patients with high congenital hip dislocation［J］.J Bone Joint Surg(Am)，2006，88(1)：80-91.