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COA 2014：S-ROM假体THA治疗Ⅳ型髋关节发育不良近期疗效

2014-11-25 小闪 整理 医学论坛网

S-ROM假体THA治疗Ⅳ型髋关节发育不良
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中华医学会第十六届骨科学术会议暨第九届COA国际学术大会于2014年11月20～23日在北京国家会议中心隆重召开。会上广州军区广州总医院骨科医院李宝丰医生做了研究报告，内容：S -ROM假体THA治疗Ⅳ型髋关节发育不良近期疗效。 节发育不良(DDH)，手术难度大;股骨头高位脱位、神经血管缩短;牵拉困难、且大于4cm伸进损伤;股骨颈前倾角大;外展肌水平走形。S-ROM的主要优点：1 远近端

中华医学会第十六届骨科学术会议暨第九届COA国际学术大会于2014年11月20～23日在北京国家会议中心隆重召开。会上广州军区广州总医院骨科医院李宝丰医生做了研究报告，内容：S -ROM假体THA治疗Ⅳ型髋关节发育不良近期疗效。

节发育不良(DDH)，手术难度大;股骨头高位脱位、神经血管缩短;牵拉困难、且大于4cm伸进损伤;股骨颈前倾角大;外展肌水平走形。S-ROM的主要优点：1 远近端稳定，复合固定，需行转子下截骨时，可固定截骨两端，解决了截骨端固定问题。2 S-ROM柄可自由调整前倾角，解决了股骨颈前倾角大的问题。3可调整股骨偏心距，解决了臀中肌张力的问题。

方法：研究选取CROWE Ⅳ型9例11髋，女性9髋，男性2髋;年龄35-78岁，平均54岁;随访6-23月，平均15月。截骨(9髋)：恢复正常髋关节运动中心;利用S-ROM固定截骨端。安装S-ROM柄：防止劈裂骨折;钢丝预捆扎、持股器。

结果:9髋截骨2.5cm(2.0 cm -3.0 cm)，2髋末截骨延长3.6 cm(3.2 cm -4.0 cm)。疼痛明显减轻，VANS评分：术前(6.2±1.8)分，末次随访(1.9±1.1)分。髋关节功能评分，Harries评分：术前(41.6±9.8)分，末次随访(88.2±8.3)分。无严重并发症。1例发生截骨端劈裂骨折。



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    2015-11-02 circumcision

    #COA#

    0

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    2015-04-26 mhzhuang@stu.e

    #髋关节发育不良#

    0

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    2015-04-12 x35042875

    脊柱融合术中是否使用BMP后的骨不连的发生率无统计学差别

    0

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    2014-11-27 neurowu

    #发育#

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1699574, encodeId=1d9716995e4c4, content=<a href='/topic/show?id=15a24951c2' target=_blank style='color:#2F92EE;'>#COA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4951, encryptionId=15a24951c2, topicName=COA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=224929955832, createdName=circumcision, createdTime=Mon Nov 02 20:09:00 CST 2015, time=2015-11-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1958248, encodeId=d39e1958248a2, content=<a href='/topic/show?id=b20f1020588a' target=_blank style='color:#2F92EE;'>#髋关节发育不良#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102058, encryptionId=b20f1020588a, topicName=髋关节发育不良)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=416347, createdName=mhzhuang@stu.e, createdTime=Sun Apr 26 15:09:00 CST 2015, time=2015-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=21038, encodeId=a08f210388a, content=脊柱融合术中是否使用BMP后的骨不连的发生率无统计学差别, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150920/IMG55FDE671A89482379.jpg, createdBy=cef3108336, createdName=x35042875, createdTime=Sun Apr 12 08:02:00 CST 2015, time=2015-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1347028, encodeId=3287134e028e6, content=<a href='/topic/show?id=88713e938c1' target=_blank style='color:#2F92EE;'>#发育#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37938, encryptionId=88713e938c1, topicName=发育)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f4c124, createdName=neurowu, createdTime=Thu Nov 27 05:09:00 CST 2014, time=2014-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1468306, encodeId=b48a146830643, content=<a href='/topic/show?id=2d3d2e5176a' target=_blank style='color:#2F92EE;'>#假体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27517, encryptionId=2d3d2e5176a, topicName=假体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2b576903125, createdName=lanyan20020088, createdTime=Thu Nov 27 05:09:00 CST 2014, time=2014-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1541143, encodeId=9ca91541143da, content=<a href='/topic/show?id=5c961e37307' target=_blank style='color:#2F92EE;'>#THA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17373, encryptionId=5c961e37307, topicName=THA)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Thu Nov 27 05:09:00 CST 2014, time=2014-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1567938, encodeId=8344156e938b4, content=<a href='/topic/show?id=7a833e94079' target=_blank style='color:#2F92EE;'>#发育不良#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37940, encryptionId=7a833e94079, topicName=发育不良)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=30b515313716, createdName=villahu, createdTime=Thu Nov 27 05:09:00 CST 2014, time=2014-11-27, status=1, ipAttribution=)]
    2014-11-27 lanyan20020088

    #假体#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1699574, encodeId=1d9716995e4c4, content=<a href='/topic/show?id=15a24951c2' target=_blank style='color:#2F92EE;'>#COA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4951, encryptionId=15a24951c2, topicName=COA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=224929955832, createdName=circumcision, createdTime=Mon Nov 02 20:09:00 CST 2015, time=2015-11-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1958248, encodeId=d39e1958248a2, content=<a href='/topic/show?id=b20f1020588a' target=_blank style='color:#2F92EE;'>#髋关节发育不良#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102058, encryptionId=b20f1020588a, topicName=髋关节发育不良)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=416347, createdName=mhzhuang@stu.e, createdTime=Sun Apr 26 15:09:00 CST 2015, time=2015-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=21038, encodeId=a08f210388a, content=脊柱融合术中是否使用BMP后的骨不连的发生率无统计学差别, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150920/IMG55FDE671A89482379.jpg, createdBy=cef3108336, createdName=x35042875, createdTime=Sun Apr 12 08:02:00 CST 2015, time=2015-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1347028, encodeId=3287134e028e6, content=<a href='/topic/show?id=88713e938c1' target=_blank style='color:#2F92EE;'>#发育#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37938, encryptionId=88713e938c1, topicName=发育)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f4c124, createdName=neurowu, createdTime=Thu Nov 27 05:09:00 CST 2014, time=2014-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1468306, encodeId=b48a146830643, content=<a href='/topic/show?id=2d3d2e5176a' target=_blank style='color:#2F92EE;'>#假体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27517, encryptionId=2d3d2e5176a, topicName=假体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2b576903125, createdName=lanyan20020088, createdTime=Thu Nov 27 05:09:00 CST 2014, time=2014-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1541143, encodeId=9ca91541143da, content=<a href='/topic/show?id=5c961e37307' target=_blank style='color:#2F92EE;'>#THA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17373, encryptionId=5c961e37307, topicName=THA)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Thu Nov 27 05:09:00 CST 2014, time=2014-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1567938, encodeId=8344156e938b4, content=<a href='/topic/show?id=7a833e94079' target=_blank style='color:#2F92EE;'>#发育不良#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37940, encryptionId=7a833e94079, topicName=发育不良)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=30b515313716, createdName=villahu, createdTime=Thu Nov 27 05:09:00 CST 2014, time=2014-11-27, status=1, ipAttribution=)]
    2014-11-27 zhouqu_8

    #THA#

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1699574, encodeId=1d9716995e4c4, content=<a href='/topic/show?id=15a24951c2' target=_blank style='color:#2F92EE;'>#COA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4951, encryptionId=15a24951c2, topicName=COA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=224929955832, createdName=circumcision, createdTime=Mon Nov 02 20:09:00 CST 2015, time=2015-11-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1958248, encodeId=d39e1958248a2, content=<a href='/topic/show?id=b20f1020588a' target=_blank style='color:#2F92EE;'>#髋关节发育不良#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102058, encryptionId=b20f1020588a, topicName=髋关节发育不良)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=416347, createdName=mhzhuang@stu.e, createdTime=Sun Apr 26 15:09:00 CST 2015, time=2015-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=21038, encodeId=a08f210388a, content=脊柱融合术中是否使用BMP后的骨不连的发生率无统计学差别, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150920/IMG55FDE671A89482379.jpg, createdBy=cef3108336, createdName=x35042875, createdTime=Sun Apr 12 08:02:00 CST 2015, time=2015-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1347028, encodeId=3287134e028e6, content=<a href='/topic/show?id=88713e938c1' target=_blank style='color:#2F92EE;'>#发育#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37938, encryptionId=88713e938c1, topicName=发育)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f4c124, createdName=neurowu, createdTime=Thu Nov 27 05:09:00 CST 2014, time=2014-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1468306, encodeId=b48a146830643, content=<a href='/topic/show?id=2d3d2e5176a' target=_blank style='color:#2F92EE;'>#假体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27517, encryptionId=2d3d2e5176a, topicName=假体)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2b576903125, createdName=lanyan20020088, createdTime=Thu Nov 27 05:09:00 CST 2014, time=2014-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1541143, encodeId=9ca91541143da, content=<a href='/topic/show?id=5c961e37307' target=_blank style='color:#2F92EE;'>#THA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17373, encryptionId=5c961e37307, topicName=THA)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Thu Nov 27 05:09:00 CST 2014, time=2014-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1567938, encodeId=8344156e938b4, content=<a href='/topic/show?id=7a833e94079' target=_blank style='color:#2F92EE;'>#发育不良#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37940, encryptionId=7a833e94079, topicName=发育不良)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=30b515313716, createdName=villahu, createdTime=Thu Nov 27 05:09:00 CST 2014, time=2014-11-27, status=1, ipAttribution=)]
    2014-11-27 villahu

    #发育不良#

    0

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