KẾT QUẢ ĐIỀU TRỊ HOẠI TỬ VÔ KHUẨN CHỎM XƯƠNG ĐÙI BẰNG PHẪU THUẬT THAY KHỚP HÁNG TOÀN PHẦN KHÔNG XI MĂNG Ở NGƯỜI DƯỚI 50 TUỔI

Anh Bùi Tuấn; Ninh Phạm Đăng; Anh Đặng Hoàng; Ngọc Nguyễn Bá

doi:10.59354/ydth175.2020.150

Keywords:

avascular necrosis of the femoral head, total hip arthroplasty

Abstract

Objective: Evaluation on results of cementless total hip arthroplasty to treat avascular necrosis of the femoral head in the patients under 50 years old.

Subjects & Methods: Consisting of 62 joints in 52 patients, were diagnosed with avascular necrosis of the femoral head in III, IV staged according to Ficat and Alert’s classification, treated by cementless total hip arthroplasty at Orthopedic and Trauma Department – Military Hospital 103 from January 2012 – January 2019. Cross sectional research, longitudinal following up, prospective and retrospective forms.

Results: The average age is 41 ± 5.2 years old. The average incision is 10.5 ± 1.72 cm. 61/62 patients had the incision healing at the first stage. With the average follow up time is 34.2 ± 16.23 months, the average of Harris Hip Score at final following – up was 97.2 ± 3.7 marks. 100% patients were excellent or good function of their hip replacemnet with Harris Hip Score > 80 marks.

Conclusion: Cementless total hip arthroplasty is a suitable treatment with good results for the patients under 50 years old who had avascular necrosis of the femoral head in later stage.

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