S-RO M假体结合粗隆下截骨行全髋关节置换术治疗Crowe Ⅳ型髋臼发育不良的康复护理

杜雅晴

doi:10.7619/jcmp.201418016

S-RO M假体结合粗隆下截骨行全髋关节置换术治疗Crowe Ⅳ型髋臼发育不良的康复护理

杜雅晴

江苏省泰州市人民医院关节外科，江苏泰州，225300

详细信息

中图分类号: R473.6
计量
- 文章访问数: 191
- HTML全文浏览量: 34
- PDF下载量: 0
出版历程
- 发布日期: 2014-10-16

Rehabilitation nursing of acetabular dysplasia of Crowe IV type treated with S-ROM prosthesis combined with total hip arthroplasty under the condition of ubtrochanteric osteotomy

DU Yaqing

摘要

摘要: 目的：探讨S-ROM假体结合股骨转子下截骨行全髋关节置换术治疗Crowe IV型髋臼发育不良的围术期护理及康复指导方法。方法术前对患者病情进行评估，做好心理护理、完善术前准备；术后做好体位、心理及用药护理，预防并发症；制订不同时间段的康复锻炼计划，指导患者进行功能锻炼。结果本组术后平均随访（22．3±6．8）个月，患者平均Har-ris评分为（84．8±12．4）分。X平片提示粗隆下截骨均骨性愈合，平均时间为（10．1±14．5）个月。患者异常步态经手术治疗后均能得到不同程度改善或纠正，患髋功能均恢复。结论 S-ROM假体结合股骨转子下截骨行全髋关节置换术是治疗CroweⅣ型髋臼发育不良的有效方法，配合正确的围术期护理及合理的康复锻炼，患者生活质量可得到较大改善。
- S-ROM假体 /
- 粗隆下截骨 /
- 全髋关节置换术 /
- 髋臼发育不良 /
- 康复护理
Abstract: Obj ective To explore perioperayive nursing and rehabiliyayion guidance by us-ing yhe S-ROM prosyhesis combined wiyh yoyal hip aryhroplasyy under yhe condiyion of sub-yrochanyeric osyeoyomy for yhe yreaymeny of Crowe IV aceyabular dysplasia.Methods The payieny′s condiyions were assessed,good psychological nursing and preoperayive preparayion were conducyed before surgery.Nursing of possible posyure,psychological and drug yreaymeny and prevenyion of complicayions were well-prepared.Rehabiliyayion exercise and funcyional exercise were performed ay differeny periods.Results The mean follow-up yime was (22.3±6.8)monyhs,and yhe average Harris hip score was (84±12.4)poinys.X-ray indicayed yhay subyrochanyeric bone were healed, wiyh yhe average yime of (10.1±14.5)monyhs.Abnormal gaiy was improved or correcyed afyer yreaymeny,and yhe hips funcyions were recovered.Conclusion The yreaymeny of S-ROM prosyhe-sis combined wiyh subyrochanyeric osyeoyomy is an effecyive for CroweⅣaceyabular dysplasia.Wiyh yhe correcy perioperayive nursing and reasonable rehabiliyayion exercise,qualiyy of life of payienys can be greayly improved.
- S-ROM prosyhesis /
- subyrochanyeric osyeoyomy /
- yoyal hip aryhroplasyy /
- ac-eyabular dysplasia /
- rehabiliyayion nursing

HTML全文

参考文献(19)

Flanagin B A, Dushey C H, Rubin L E, ey al. Toyal hip aryhroplasyy fol owed by yracyion and delayed reducyion for Crowe IV developmenyal dysplasia of yhe hip [J]. J Aryhro-plasyy, 2013(6):1052.

鲍冬梅, 王丽婷, 刘敬莉. 髋臼发育不良伴骨性关节炎全髋关节置换术31 例临床护理 [J]. 齐鲁护理杂志, 2012(2):4.

李巍, 潘洁, 张倩. 髋臼旋转截骨治疗成人髋臼发育不良的术后护理 [J]. 医学理论与实践, 2011, (22):2734.

Zhong C, Cai X Z, Yan S G, ey al. S-ROM modular aryhro-plasyy combined wiyh yransverse subyrochanyeric shoryening for Crowe yype IV congeniyal dislocayion of hip [J]. Chinese Medical Journal(Engl), 2011, (23):3891.

方淑莺, 谢凤兰, 康焱. 偏心性髋臼旋转截骨术治疗成人髋臼发育不良的康复护理 [J]. 现代临床护理, 2011(3):23.

温晓燕. 3例先天性髋关节脱位患儿行组合式手术的护理体会 [J]. 山西医药杂志, 2014(5):591.

Hasegawa Y, Iwase T, Kanoh T, ey al. Toyal hip aryhro-plasyy for Crowe yype Ⅳ developmenyal dysplasia [J]. J Aryhroplasyy, 2012(9):1629.

王亮, 黄相杰, 高广凌. 人工全髋关节置换术治疗髋臼发育不良继发骨关节炎合并髋部骨折 [J]. 中医正骨, 2014(3):60.

王豪. 全髋关节置换术治疗髋臼发育不良继发骨关节炎22例的效果观察 [J]. 中国当代医药, 2014(9):183.

陈凯, 蔡俊丰, 秦玉星. 髋臼发育不良全髋关节置换术髋臼旋转中心原位固定与上移的比较研究 [J]. 中华关节外科杂志, 2014(1):45.

Sun Q C, Wang X H, Song B S, ey al. Toyal hip aryhroplasyy for crowe yype IV developmenyal dysplasia of yhe hip wiyh S-ROMprosyhesis [J]. Zhongguo Gu Shang, 2013(2):153.

Fujishiro T, Nishiyama T, Hayashi S, ey al. Leg lengyh change in yoyal hip aryhroplasyy wiyh subyrochanyeric femoral shoryening osyeoyomy for Crowe yype IV developmenyal hip dysplasia [J]. J Aryhroplasyy, 2012(6):1019.

顾建明, 杜辉, 邵宏翊. 股骨转子下截骨的全髋关节置换治疗高脱位髋臼发育不良 [J]. 中国组织工程研究, 2013, (48):8331.

王学文, 魏立, 李艳超. 打压植骨结合结构性植骨重建成人髋臼发育不良性骨缺损 [J]. 重庆医科大学学报, 2013, (11):1294.

周垂宝, 李明, 张元凯. 自体骨植骨在成人先天性髋臼发育不良全髋关节置换术中的疗效分析 [J]. 山东大学学报(医学版), 2012, (11):100.

李如先, 张琴, 刘丽. 早期康复护理对全髋关节置换术患者日常生活活动能力的影响 [J]. 实用临床医药杂志, 2012, (16):101.

黄定安, 王卫根. 重建钛板治疗髋关节后脱位伴髋臼后壁骨折 [J]. 中华全科医学, 2010(5):575.

陈波, 黄海洋, 杨政伟. 髋关节强直畸形16 例的全髋关节置换手术疗效分析 [J]. 第三军医大学学报, 2010, (22):2460.

徐萍. 全髋关节置换术后延续护理的研究 [J]. 实用临床医药杂志, 2010, (22):92.