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Reconstruction of actabulum is mainly relevant to design, selection and fixation of acetabular prosthesis and repair of deficient acetabulum.

缺损髋臼的重建主要涉及翻修髋臼假体的设计与选择、翻修假体的固定和骨缺损修复等几个重要问题。

Most deficient acetabula can be restored to a hemispherical shape, and a standard, albeit large, acetabular component can be inserted.

多数有骨缺损的髋臼仍能保持半球形,因而可植入大的标准髋臼假体。

Current application for hip arthroscopy include management of labral tears, osteoplasty for femoroacetabular impingement, thermal capsulorrhaphy and capsular plication for subtle rotational instability and capsular laxity, lateral impact injury and chondral lesions, osteochondritis dissecans, ligamentum teres injuries, internal and external snapping hip, removal of loose bodies, synovial biopsy, subtotal synovectomy, synovial chondromatosis, infection, and certain cases of mild to moderate osteoarthritis with associated mechanical symptoms.

目前髋关节镜主要应用于盂唇撕裂的处理、股骨髋臼的撞击症的骨成形、隐匿性髋关节旋转不稳的热关节囊紧缩或关节囊皱折术,治疗软骨损伤、剥脱性骨软骨炎、圆韧带损伤、内源性或外源性弹响髋,清除游离体、滑膜活检、滑膜次全切、滑膜软骨瘤病、感染和某些伴有机械症状的轻度至中度骨性关节炎。

The reconstruction methods for acetabular rotation center included standard THA, structural autografting and medialization of acetabular rotation centers.

髋臼旋转中心的重建方法包括标准的全髋关节置换术、结构性自体植骨和髋臼旋转中心内移。

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。

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

目的 评价髋臼内打压植骨在髋臼溶骨关节内陷的全髋关节置换术中的应用效果。

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髋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,减小髋臼角,使股骨头与髋臼保持同心圆关系,是预防再脱位的关键。

The obtained hip CT data were developed with SSD and MPR to observe spational position and bone stock of the acetabula.

对扫描获取的原始髋关节图像应用SSD 结合MPR 技术,观察髋臼的空间位置和髋臼壁骨贮备情况。

Methods From February 2000 to February 2006, 19 patients with DDH, whose acetabula were shallow and small and femoral head were big, were treated by reformative Pemberton acetabular osteotomy.

000年2月~2006年2月,对DDH髋臼浅而小、股骨头大的19例21个髋关节,在通常术式的基础上,对Pemberton截骨术式进行改良,将截骨点下移,扩大翻转骨瓣面积;取股骨截骨段植骨。

Methods From March 1994 to December 2002, on the basis of the ordinary operative method, Pemberton method was improved for 48 cases of DDH 49 articulatio coxae which had superficial and small acetabula but big heads of femur. Osteotomy points were moved higher to enlarge area of bone flap turned over. A piece of full thickness ilium including periosteum was removed as a free bony graft. Capsula articularis growing thicker was made into 2 layers, of which the inner layer was used to tighten articularis and the outer layer was used to stabilize bone flap.

1994年3月~2002年12月,对DDH髋臼浅而小、股骨头大的48例49个髋关节,在通常术式的基础上,对Pemberton截骨术式进行改良,将截骨点上移,扩大翻转骨瓣面积;取髂骨全层骨板连带附着的骨膜植骨;增厚的关节囊制成两层,内层紧缩关节,外层稳定骨瓣。

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