Clinical observation of total hip arthroplasty in the treatment of congenital dislocation of the hip and femoral head ischemic necrosis / 中国基层医药

ABSTRACT

Objective To explore the effects of total hip arthroplasty in the treatment of congenital disloca-tion of the hip and femoral head aseptic necrosis.Methods 16 cases of congenital dislocation of the hip and femoral head ischemic necrosis patients,10 cases of them were bilateral hip lesion,6 cases with unilateral lesions,total hip replacement in 26 lesions( THA) treatment,Follow up was used to observe the effect of the operation.Results All patients had succeeded in the operation.There were no postoperative fractures and vascular,nerve damage,muscle. Patients were discharged after recovery of joint function reached the expected target, walking was not restricted, restoration of the basic daily life.Limb length extension of 3-5cm,the average 3.4cm.Harris score by preoperative average 36.2 points back to 90.1 points after operation.Conclusion For the patients of congenital dislocation of hip joint combined with femoral head ischemic necrosis,total hip replacement arthroplasty were a good method for them.