四川医学2024，Vol.45Issue(12) ：1317-1322.DOI:10.16252/j.cnki.issn1004-0501-2024.12.004

股骨头旋转中心精准重建在人工髋关节置换中的应用价值及术后并发症、疼痛程度的影响

The Application Value of Precise Reconstruction of Rotational Center of Femoral Head in Artificial Hip Replacement and the Influence of Postoperative Complications and Pain Degree

谈志俊 张濒 史法见
四川医学2024，Vol.45Issue(12) ：1317-1322.DOI:10.16252/j.cnki.issn1004-0501-2024.12.004
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股骨头旋转中心精准重建在人工髋关节置换中的应用价值及术后并发症、疼痛程度的影响

The Application Value of Precise Reconstruction of Rotational Center of Femoral Head in Artificial Hip Replacement and the Influence of Postoperative Complications and Pain Degree

谈志俊 1张濒 1史法见1
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作者信息

  • 1. 南京医科大学第四附属医院骨科,江苏南京 210000
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摘要

目的 探究股骨头旋转中心精准重建在人工髋关节置换术(THR)中的应用价值.方法 选取2021年5月至2022年5月于我院行THR治疗的180例股骨颈骨折患者,随机分为两组,各90例.对照组使用常规工具,研究组使用股骨头旋转中心定位工具.比较两组围手术期指标、炎性因子[白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、C反应蛋白与白蛋白比值(CRP/Alb)]、髋关节功能(HHS评分)、平衡功能(BBS评分)、疼痛程度(VAS评分)、并发症、髋臼假体位置.结果 研究组手术时间短于对照组(P＜0.05);术后3 d、7 d,研究组血清IL-6、TNF-α、CRP/Alb低于对照组(P＜0.05);术后3个月、6个月,研究组HHS、BBS评分高于对照组,VAS评分低于对照组(P＜0.05);研究组术后并发症发生率低于对照组(P＜0.05);术后6个月,研究组髋臼假体外展角、股骨偏心距、髋臼假体前倾角低于对照组(P＜0.05).结论 在THR中,股骨头旋转中心精准重建可缩短手术时间,减轻炎性反应,减轻疼痛,恢复髋关节与平衡功能,髋臼假体位置更优,减少并发症发生.

Abstract

Objective To study application value of precise reconstruction of femoral head rotation center in artificial hip replacement(THR).Methods Total 180 patients with femoral neck fractures who underwent THR treatment in our hospital from May 2021 to May 2022 were randomly divided into two groups,with 90 cases in each group.Control group used conventional tools,while the study group used a femoral head rotation center positioning tool.Perioperative indicators,inflammatory factors[interleu-kin-6(IL-6),tumor necrosis factor-α(TNF-α),C-reactive protein to albumin ratio(CRP/Alb)],hip joint function(HHS score),balance function(BBS score),pain level(VAS score),complications,and acetabular prosthesis position were compared between the two groups.Results The operation time of study group was shorter than that of control group(P＜0.05).At 3 and 7 days after surgery,serum IL-6,TNF-α,and CRP/Alb in study group were lower than those in control group(P＜0.05).At 3 and 6 months after surgery,study group had higher HHS and BBS scores and lower VAS scores than control group(P＜0.05).The inci-dence of postoperative complications in study group was lower than that in control group(P＜0.05).At 6 months after surgery,the acetabular prosthesis abduction angle,femoral offset,and acetabular prosthesis anteversion angle in study group were lower than those in control group(P＜0.05).Conclusion In THR,precise reconstruction of the femoral head rotation center could shorten operation time,reduce inflammatory reactions,alleviate pain,restore hip joint and balance function,improve the position of acetabu-lar prosthesis,and reduce the occurrence of complications.

关键词

股骨头旋转中心重建/人工髋关节置换术/炎性因子/髋关节功能/髋臼假体位置/并发症

Key words

femoral head rotation center reconstruction/artificial hip replacement/inflammatory factors/hip joint func-tion/position of acetabular prosthesis/complications

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出版年

2024
四川医学
四川省医学会

四川医学

CSTPCD
影响因子：1.174
ISSN：1004-0501
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