| 大转子延长截骨在THR术后感染一期翻修中的临床应用 |
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| 引用本文： | 许超,郭永园,孙鹏飞,贾玉华.大转子延长截骨在THR术后感染一期翻修中的临床应用[J].医学与哲学,2013(12):49-51,68. |
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| 作者姓名： | 许超 郭永园 孙鹏飞 贾玉华 |
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| 作者单位： | 山东大学齐鲁医院,山东济南250012 |
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| 基金项目： | 山东省自然基金,项目编号：ZR2011HM084 |
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| 摘 要： | 评价大转子延长截骨并行单纯钢丝捆扎在人工髋关节置换（THR）术后感染一期翻修中的作用及对翻修假体的影响.选取2010年10月~2013年10月期间30例髋关节置换术后假体感染性松动并行一期翻修术的患者,随访时间（34.8＆#177;13.2）月,对患者手术时间、截骨长度和愈合时间、术前术后Harris评分及术后感染控制情况进行统计.30例患者髋关节术后评分明显高于术前,手术时间为（132.4＆#177;23.6）min,经大转子截骨长度为（11.4＆#177;2.6）cm,截骨愈合时间（3.8＆#177;1.3）个月.术后感染未见复发.因此THR术后感染的一期翻修术中应用大转子延长截骨方法能缩短手术时间,髋关节功能较术前明显改善.
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| 关 键 词： | 截骨 髋关节置换术 感染 一期翻修 |
The Clinical Application of Extended Trochanteric Osteotomy in One-stage Revision for Infected Total Hip Arthroplasty |
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| Institution: | XU Chao , GUO Yong-yuan , SUN Peng- fei , et al. Department of Orthopedics, Qilu Hospital of Shandong University, Jinan 250012, China |
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| Abstract: | To evaluate the effects of extended trochanteric osteotomy in one--stage revision for infected hip arthroplasty, 30 cases of revision THR for infection were selected from October 2010 to October 2013. An average of （34. 8 ± 13. 2） months follow--up was carried out. Operation time, osteotomy length, osteotomy union time pre-- and post--operative Harris score were analyzed. The average Harris hip score after operation was significantly increased compared with preop- eration. The average operation time was （132.4±23.6） minutes, and the average osteotomy length was （11.4±2.6）cm. The average osteotomy union time was （3.8 ±1.3） months. ESR and CRP were normal after operation. Extended troehanteric osteotomy in hip revision surgery can effectively reduce the operation time, and the hip function obviously improved compared with preoperative. |
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| Keywords: | Osteotomy total hip replacement （THR） infection one--stage revision |
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