全髋关节置换术后人工关节不稳的研究进展
李鹏涛
商杰
郑柏
1.徐州市第三人民医院, 江苏,2210052.徐州市第三人民医院, 江苏,2210053.徐州市第三人民医院, 江苏,221005
摘要：Total hip arthroplasty is an effective way to alleviate hip pain and to reconstruct the joint function, which is widely used in the treatment of some diseases such as late hip arthritis, femoral head necrosis and rheumatoid arthritis. Hip instability is one of the most common complications of total hip arthroplasty, and is also an important indication for revision arthroplasty. Hip instability following total hip arthroplasty is associated with many factors, including patient risk factors, surgical factors and component factors. Patient risk factors for dislocation include age, gender, the history of hip surgery, neuromuscular and cognitive disorders. Surgical factors include surgical approach, component position and soft tissue repairing. Component factors include size of the femoral head and femoral offset. The treatment of instability can be especially complicated and tough. First episode of dislocation can be treated with closed reduction techniques in most cases. Recurrent instability should be surgically treated. Before the operation, the cause of the disease should be carefully analyzed and the mechanism of joint dislocation should be defined. The aim of this current article is to analyze the relevant risk factors and to make a treatment protocol by reviewing the most recent literature published on this topic.
关键词：髋脱位关节成形术置换髋矫形外科手术髋关节翻修手术
分类号：R687.4(骨科学（运动系疾病、矫形外科学）)R619(外科手术学)
论文发表日期：2017-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：6( 767-772 )
英文信息