Kết quả thay khớp háng toàn phần không xi măng điều trị một số bệnh lý khớp háng tại Bệnh viện Đa khoa tỉnh Ninh Bình

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Văn Toàn Ngô, Hoàng Thanh Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại: 378.597 Higher education

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2023

Mô tả vật lý:

Bộ sưu tập: Metadata

ID: 502454

Thêm vào giỏ

Đánh giá kết quả thay khớp háng toàn phần không xi măng điều trị một số bệnh lý khớp háng tại bệnh viện đa khoa tỉnh Ninh Bình. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang, hồi cứu đánh giá trên 65 bệnh nhân với 80 khớp háng toàn phần không xi măng điều trị một số bệnh lý khớp háng tại Bệnh viện đa khoa tỉnh Ninh Bình từ tháng 1/2018 đến tháng 12/2022. Kết quả được đánh giá thông qua thang điểm chức năng khớp háng Harris. Kết quả: Độ tuổi trung bình của đối tượng nghiên cứu là 52,7±11, tỉ lệ nam giới là 81,54%, nữ giới là 18,46%. Có 25 bệnh nhân thay khớp háng bên trái, 25 bệnh nhân thay bên phải và 15 bệnh nhân thay cả 2 bên. Thời gian phẫu thuật trung bình 82 ± 21,2 phút, ngày nằm viện trung bình 12,2 ± 2,9. Kết quả điểm chức năng khớp háng sau mổ: Harris trung bình là 93,34 ± 9,39, tỉ lệ rất tốt và tốt là 91,25%. Về tai biến phẫu thuật: Có 2 trường hợp tai biến vỡ calca toác dọc xuống mấu chuyển bé, có 2 trường hợp trật khớp háng sau mổ, 2 trường hợp nhiễm trùng nông và 1 trường hợp tụ máu vết mổ. Không có trường hợp nào phải thay lại khớp háng. Kết luận: Phẫu thuật thay khớp háng toàn phần không xi măng là phương pháp điều trị có hiệu quả tốt với các bệnh lý về khớp háng ở những giai đoạn cuối của bệnh giúp cho bệnh nhân giảm đau và phục hồi lại chức năng của khớp hángTo evaluate the treatment outcomes of total cementless hip replacement surgery forhip pathologies at Ninh Binh Province General Hospital. Subjects and methods: A descriptive and retrospective study was conducted on 65 patients with 80 hips that underwent total cementless hip replacement surgery for hip pathologies at Ninh Binh Province General Hospitalfrom January 2018 to December 2022, using Harris Hip Score. Results: The mean age was 52,7±11 yrs
81,54% cases were male
the rest was female (18,46%)
25 patients with operated left hips
25 patients with operated right hips and 15 patients with bilateral operated hips. The average operating time was 82±21,2 mins. The average duration of stay in the hospital was 12,2±2,9 days. Final results were calculated using Harris Hip Score with 91,25% cases as excellent and good
the average HHS was 93,34±9,39 pts. Complications included 2 cases with calcar fracture expanding to lesser trochanter, 2 cases with post-operative hip dislocation, 2 cases with superficial infection and 1 cases with hematoma. There was no revision one. Conclusion: Total cementless hip replacement surgery is a favorable treatment option for end-stage hip pathologies, making patients painless and recover hip joint function.

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