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A modular femoral neck system of hip prosthesis is one method that can be used to obtain ideal femoral neck anteversion, offset, leg length and alignment.

摘要 全人工髋关节股骨柄上,股骨颈与股骨柄之模组化设计有利於手术过程中提供医师在完成股骨柄元件植入后,还能对於股骨颈与髋臼元件之间对位的调整,只要搭配选取不同的股骨颈元件弯曲角度或长度便可有效地重建髋关节的力学环境。

Methods 16 cases of congenital dislocation of hip(20 hips)and 5 cases of aratomy specimens(10 hips) were measured femoral anteversion by self-made femoral anteversion gonimeter.30 hips were measured femoral anteversion by CT to exame the accuration of operative measurment.

应用自制股骨颈前倾角测量仪,术中测量 16例先天性髋关节脱位的 2 0个股骨颈前倾角和 5例解剖标本的 10个股骨颈前倾角,30个髋关节均行CT测量股骨颈前倾角以验证术中测量值的准确性。

Methods 63 cases of coxa arthropathy associated with AS were divided into two groups,experimental group and control group.Both groups received a basal treatment of taking sulfasalazine and nabumetone.In EG intra-articular injection of sodium hyaluronate and was carried out once a week in 33 patients with coxa arthropathy associated with AS.Each case received 5 injections in all,only in first injection combined with compound betamethasone.

63例强直性脊柱炎伴髋关节病变患者随机分为两组,均在给予柳氮磺吡啶1.0g,每日2次及萘丁美酮1.0g,每日1次的基础治疗上,试验组患者进行玻璃酸钠和复方倍他米松髋关节腔内注射,每周1次,第1周同时注射两种药物,后第2~5周,仅注射玻璃酸钠,而对照组仅于疗程第1天给予复方倍他米松肌肉注射1次,连续5周为1个疗程。

Objective To analyse the failed total hip arthroplasty and to improve its long-term results.

目的对人工髋关节置换术后失败的病例进行分析,总结经验,提高人工髋关节置换术的长期疗效。

At the time of the most recent follow-up, none of the hips had required total hip arthroplasty.

到目前的随访时间,无一例髋关节需要进行全髋关节成形术。

Methods: We retrospectiely analyzed twenty-four hips in twenty patients who underwent a Bernese periacetabular osteotomy, which was done with a proximal femoral algus-producing osteotomy in thirteen hips, for the treatment of acetabular dysplasia associated with proximal femoral structural abnormalities.

我们回顾性分析20位患者中的24例髋关节,他们都进行过Bernese periacetabular截骨术,对于髋臼发育不良合并股骨近段的结构异常分别在13例髋关节完成了股骨近段外翻截骨成型术。

BACKGROUND: Prosthesis selection for total hip replacement is determined by geometrical matching with femoral medullary cavity of patients and the optimal biodynamics. It is of great significance for elevating outcomes of total hip replacement.

背景:人工髋关节置换术前选择假体时,不仅要考虑在几何学上达到与患者股骨髓腔的匹配,而且还要在生物力学性能上达到最优,这对提高全髋关节置换术后疗效,具有较现实的意义。

Doctor bad bone in his Qiequ, fitted with artificial hip, that is, map the left hip.

医师为他切去坏骨,装上人工髋关节,图左侧即是人工髋关节

The rate of excellent and good functional recovery of hip was 94.0%. Postoperative internal-fixation-related complications occurred in 31 cases, including hip varus in 14 cases who had posterior intertrochanteric fragments, delayed union of fracture in 12 cases who had fractured calcar and lesser trochanter and massive dissection of soft tissues, and cutting-out of lag screws in five cases, three of whom had to receive prosthetic replacement.

术后髋关节功能恢复良好率达94.0%。215例患者中31例出现内固定相关术后并发症,其中髋内翻14例,主要发生于股骨转子内后方存在明显骨折碎裂的患者;骨折延迟愈合12例,为骨折累及股骨距及小转子,术中做软组织广泛剥离、骨折复位固定的患者;内固定物股骨头颈内切割并螺钉穿入髋关节腔5例,其中3例再行人工关节置换,关节功能Harris评分为82分。

Methods 58 patients (75 hips) with acetabulum deficiency had THR performed. In the operations, an ural bone graft, a morselized bone graft or their combination were used based on the definition. After the operations, 46 patients (59 hips) were followed up and evaluated by Xrays and the Harris score.

对58例75髋存在髋臼骨缺损患者行全髋关节置换手术,术中对根据骨缺损的情况分别进行颗粒性、结构性和混合性植骨,术后对其中46例(59髋)进行髋关节X线检查及髋关节功能Harris 评分。

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