| 摘要: |
| ［摘要］ 目的 观察参考髋臼横韧带定位法植入假体在全髋关节置换术（THA）中的应用效果。方法 回顾性分析2022年1月至2023年10月于黄石市中心医院行THA的126例患者的临床资料，根据术中髋臼假体定位方法分为观察组（采用参考髋臼横韧带定位法，64例）和对照组（采用定位杆徒手目测定位法，62例）。比较两组手术时间、术中出血量、髋关节功能情况（Harris评分）、髋关节旋转中心偏移情况和并发症发生情况。结果 观察组手术时间短于对照组，术中出血量少于对照组，差异有统计学意义（P<0.05）。观察组髋关节旋转中心垂直偏移显著小于对照组（P<0.05），两组水平偏移比较差异无统计学意义（P>0.05）。观察组旋转中心重建良好率高于对照组，差异有统计学意义（P<0.05）。两组术前Harris评分比较差异无统计学意义（P>0.05），术后Harris评分均呈上升趋势（P<0.05）。术后1个月、术后6个月，观察组Harris评分均显著高于对照组（P<0.05）。观察组术后并发症总发生率低于对照组，差异有统计学意义（4.69% vs 16.13%； χ2=4.496，P=0.034）。结论 在THA中应用参考髋臼横韧带定位法植入假体有助于减少重建后髋关节旋转中心偏移，有利于髋关节功能康复。 |
| 关键词: 髋关节旋转中心 全髋关节置换术 髋臼横韧带 |
| DOI：10.3969/j.issn.1674-3806.2025.04.10 |
| 分类号: |
| 基金项目:湖北省自然科学基金项目（编号：2021CFB517） |
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| Observation on application effect of implanting prosthesis by referring to transverse acetabular ligament positioning method in total hip arthroplasty |
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HUANG Chunyi1, SUN Farui2, LI Bo2, FENG Shaosheng1, YE Hengyi1, CHENG Gege1
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1.School of Medicine, Department of Medicine, Wuhan University of Science and Technology, Wuhan 430000, China; 2.Department of Sports Medicine, Huangshi Central Hospital, Huangshi 435000, China
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| Abstract: |
| ［Abstract］ Objective To observe the application effect of implanting prosthesis by referring to transverse acetabular ligament positioning method in total hip arthroplasty(THA). Methods The clinical data of 126 patients who underwent THA in Huangshi Central Hospital from January 2022 to October 2023 were retrospectively analyzed. According to the intraoperative acetabular prosthesis positioning methods, the patients were divided into observation group(using the refferring to transverse acetabular ligament positioning method, 64 cases) and control group(using the freehand visual inspection positioning method with a positioning rod, 62 cases). The operation time, intraoperative blood loss, hip function(Harris score), deviation of hip rotation center and the occurrence of complications were compared between the two groups. Results The operation time of the observation group was shorter than that of the control group, and the intraoperative blood loss of the observation group was less than that of the control group, with statistically significant differences between the two groups(P<0.05). The vertical deviation of the hip rotation center in the observation group was significantly smaller than that in the control group(P<0.05), and there was no significant difference in the horizontal deviation between the two groups(P>0.05). The good reconstruction rate of the hip rotation center in the observation group was higher than that in the control group, and the difference was statistically significant(P<0.05). There were no significant differences in Harris scores between the two groups before operation(P>0.05), and the Harris scores in both groups showed an increasing trend after operation(P<0.05). At 1 month and 6 months after operation, the Harris scores of the observation group were significantly higher than those of the control group(P<0.05). The total incidence of postoperative complications in the observation group was lower than that in the control group, and there was statistically significant difference between the two groups(4.69% vs 16.13%; χ2=4.496, P=0.034). Conclusion Implanting the prosthesis by referring to the transverse acetabular ligament positioning method in THA is helpful for reducing the deviation of hip rotation center after reconstruction and is beneficial to rehabilitation of the patients′ hip joint function. |
| Key words: Hip rotation center Total hip arthroplasty(THA) Transverse acetabular ligament |
