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MAIN OUTCOME MEASURES: Strain changes on the medial wall and dome region of acetabulum.

主要观察指标:髋臼内壁和臼顶负重区应变的变化。

The variability in osseous surface preparation of the acetabulum may also affect the true extent of cup deformation in vivo.

髋臼窝的准备也可能影响体内臼杯变形的真实程度。

To deepen acetabulum,we turned over the external ilium lamina as a hinging graft coving on the femoral head when performing iliumotomy.At the iliumotomy,a dissociate cancellous bone was wadged on the plasted acetabulum for stabilizing it.

病例的手术治疗改进为了更好地解决小儿先天性髋关节脱位的髋臼狭窄,股骨头相对大的臼,头包容;为防止术后并发再脱位;减少股骨头缺血坏死;增加术后髋关节的稳定等问题。

The use of the transverse ligament has been shown to be a dependable landmark for the anteversion of the cup, as shown by Archbold and Beverland et al.13 By placing the cup parallel to the transverse ligament this prevents excessive anteversion or retroversion of the cup, thus placing the cup in the centre of the patient's functional range, enhancing the joint's stability.

超过此界限值,脱位风险率将从1.5%增加6.1%不等。Archbold与Beverland等指出,髋臼横韧带是臼杯前倾角可靠的参考标志13。

The animal model can be established through transverse osteotomy at bilateral iliopectineal crest,which is an effective method to study the mechanism of compression and bone formation at pelvis and acetabulum.Anatomic fixation and persistent compression corresponding with physiological line of force with ATMFS can promote bone union.

通过双侧髋臼臼顶上方的横形截骨能够建立可靠的骨盆弓状线部骨折动物模型,ATMFS的解剖位固定和其产生的持续顺应生理力线的压应力能够促进骨折愈合。

Methods:Ten adult mixed breed dogs(no significant individual difference)were made transverse fracture at bilateral iliopectineal crest 1.5 cm above the dome of acetabulum,which were fixed with ATMFS and steel plate respectively.The X-ray,macropathological observation and biomechanical test were analyzed at 1,2,4,8,12 weeks after operation.

选用10只成年杂种家犬,建立双侧髋臼臼顶上方1.5cm处的横形骨折动物模型,分别采用ATMFS前柱固定器和6孔重建钢板内固定,于术后1、2、4、8、12周各取2只动物,行X线检查、大体观察和生物力学测试。

The authors found that the prealence of protrusio increased to approxi- mately 35.9% by the age of twenty years and then it plateaued; howeer, its presence did not correlate with osteoarthritic changes as measured with the Iowa hip score in patients more than forty years of age.

作者发现髋臼前突的发病率在20岁时增加到35.9%然后进入平台期,但其表现与骨关节炎改变并不成比例(IOWA髋指数,年龄大于40岁);对有症状的患者来说,髋关节前突与髋部疼痛之间呈正相关关系,关节间隙宽度与髋前突间呈负相关关系,提示髋关节前突的力学因素对关节退变有一定作用,但可能不是主要因素。

The radiographical evaluation was performed according to orthotropia and lateral images of hip joint to observe acetabular migration and bone changes around the hip and measure the polyethylene wear rate and direction of the acetabular polyethylene wear.

影像学评估根据术后及随访时髋关节正、侧位片,观察髋臼假体的位置及其周围的骨质改变,并测量臼杯的磨损速度、磨损方向。

The different features of the osteolysis were compared radiographically.

方法对8例髋臼松动患者通过术前X线的评估,比较骨水泥臼和非骨水泥臼骨溶解的不同特点。

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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