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Recent research shows hip arthroscopy can provide early diagnosis and treatment hip unexplained pain, such as femoroacetabular impingement, labral team, chondral lesions, furthmore hip arthroscopy shows good prospects in the treatment avascular necrosis of femoral head, synovial abnormalities, post hip arthroplasty discomfort.

研究表明,镜关节镜对于既往不明原因的痛如关节撞击征、臼盂唇、髓臼软骨损伤可以早期诊断和治疗。此外,关节镜在股骨头坏死、股骨头圆韧带损伤、关节置换后的应用也展现出极大的应用前景。

Objective To evaluate the effect of impaction bone grafting for acetabular osteolytic arthrokatadysis.

目的 评价臼内打压植骨在臼溶骨关节内陷的全关节置换术中的应用效果。

These three internal fixations of femoral peritrochanteric fracture were differ. For example, Gamma nail is less harmful, better clinical treatment, shorter in shape and stronger in anti-hip inversion. DHS, DCS have a better treatment and are stronger in anti-hip inversion but more harmful and excessive bleeding, and HCS, which is named Minimally Invasive Surgery, is the least harmful, less bleeding, suitable for old patients and the patients of tolerance of poor operation, but poor in anti-hip inversion.

3种不同方法内固定治疗转子间骨折具有各自的特点,Gamma钉具有手术损伤小及良好的临床疗效力臂短对抗内翻的能力强;滑动加压鹅头钉具有良好的临床疗效及相对坚强的抗内翻能力,但手术损伤相对较大,失血量较大;空心加压螺钉固定的手术损伤最小,属于微创手术方法,可经皮完成,手术出血少,适用于高龄及手术耐受性差的患者,但抗内翻的能力最差。

the hip knee joint replaces the technique the deep phlebothrombosis, are cause the fibrin, the red blood cell under each kind of factor function as well as not the isometric blood platelet and the white blood cell in the vein the clustering process, after is the hip knee joint replaces the technique, most common complication.

膝关节置换术后的深静脉血栓形成,是在各种因素作用下导致纤维蛋白、红细胞以及不等量的血小板和白细胞在静脉内形成凝块的过程,是膝关节置换术后最常见的并发症。

To explore the effect of hip joint center on the stability of hip joint, the radiographic measurements were compared between preoperation and postoperation.

[目的]通过手术前后对臼旋转中心的X线测量,探讨臼旋转中心的变化对关节平衡稳定性的影响。

To explore the effect of hip joint center on the stability of hip joint,the radiographic measurements were compared between preoperation and postoperation.

通过手术前后对臼旋转中心的X线测量,探讨臼旋转中心的变化对关节平衡稳定性的影响。

Radiographical evaluation showed one hip with focal osteolysis, mean linear wear rate of 0.15 mm/ year and mean 10.4° for angle with vertical line.

影像评估显示1出现局灶性骨溶解;聚乙烯内衬平均线性磨损率为0.15mm/年,与垂线的成角平均为10.4 ;臼外展角平均为46 ;垂直距离平均为10.5mm,水平距离平均为8.7mm。

The key of preventing redislocation was:analyzing pathological change of hip dislocation in every patient correctly,selecting true operation type,intercepting bone rotatively below femur trochanter,diminishing angulus acetabularis and keeping relationship of cocenric circle between femoral head and acetabulum.

正确分析每一例患儿引起关节脱位的病理变化,选择正确的术式,行股骨粗隆下旋转截骨,减小臼角,使股骨头与臼保持同心圆关系,是预防再脱位的关键。

Conclusions]Complex acetabular fractures with displacement should be evaluated by means of 2D rconstruction and three-dimensional multislice spiral CT.However 3D CT is of little practical value in undisplaced acetabular fractures.

结论]对于有移位的臼骨折尤其是复杂的骨折,应尽可能行二维及三维CT重建协助完善术前准备,三维CT对无移位的臼骨折实用价值不大。

The methods for determination of anteverted and abducted angle of acetabula in the positive X-ray films of hip joints are accurate and objective,simple.

结论在关节正位X线片上测算臼前倾角、外展角的方法是准确客观的,该方法简单易行,从而使THR术中臼假体的安置更加精确。

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