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目的探讨成人晚期髋关节结核功能丧失的患者髋关节功能重建的方法。方法对20例成人晚期髋关节结核功能丧失的患者,5例行髋关节成形术,15例行全髋关节置换术,并分析评定疗效。结果髋关节成形组采用JOA评分,优1例,良4例,无中及差病例。全髋关节置换组采用Harris评分,优7例,良5例,中2例,差1例。未致结核复发,未有假体松动和感染。结论根据患者年龄、关节破坏程度,选择性对晚期髋关节结核功能丧失的患者实施髋关节成形术或全髋关节置换术,可不同程度恢复髋关节的负重和行走功能。是切实有效重建髋关节功能的方法。
Objective To investigate the functional reconstruction of hip joint in patients with advanced hip arthroplasty. Methods Twenty patients with functional loss of advanced tuberculosis of hip in 5 adults underwent hip arthroplasty and 15 patients underwent total hip arthroplasty. The curative effect was analyzed and evaluated. Results The hip arthroplasty group had JOA score, excellent in 1 case, good in 4 cases, and moderate and poor cases. The total hip replacement group using Harris score, excellent in 7 cases, good in 5 cases, 2 cases, poor in 1 case. No tuberculosis recurrence, no prosthesis loosening and infection. Conclusion According to the patient’s age, the degree of joint destruction, selective hip arthroplasty or total hip arthroplasty in patients with advanced hip tuberculosis loss of function may restore the hip joint load and walking function to varying degrees. Is an effective and effective method of reconstruction of hip function.