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髋臼横韧带在全髋关节置换术中假体定位意义的研究进展
Research progress on the significance of transverse acetabular ligament in the positioning of prosthesis in total hip replacement
投稿时间:2023-04-13  
DOI:10.3969/j.issn.1672-5972.2024.03.013
中文关键词:  全髋关节置换术  髋臼横韧带  髋臼假体  脱位
英文关键词:Total hip arthroplasty  Transverse acetabular ligament  Acetabular prosthesis  Dislocation
基金项目:湖北省自然科学基金项目(2021CFB517)
作者单位邮编
李博 武汉科技大学医学部医学院湖北 武汉430000 430000
孙法瑞* 黄石市中心医院湖北 黄石435000 435000
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中文摘要:
      全髋关节置换术(total hip arthroplasty, THA)治疗终末期骨性关节炎及股骨头坏死等髋关节疾病有着较为显著的疗效,髋臼假体的准确定位成为手术的关键,诸多学者提出以髋臼横韧带为参考定位髋臼假体能降低术后脱位的发生率,这种定位方法无需额外器械辅助,具有简便、快速、经济的优点,能够避免高BMI及术中骨盆旋转对假体安置的影响,帮助初学者快速掌握全髋关节置换术中髋臼假体安置的技术要领。本文将阐述髋臼横韧带的基础解剖,并从髋臼假体的角度、覆盖率及旋转中心等方面对髋臼横韧带在全髋关节置换术中对髋臼假体的定位意义进行综述。
英文摘要:
      Total hip arthroplasty (THA) has significant efficacy in the treatment of end-stage osteoarthritis, femoral head necrosis and other hip diseases, and the accurate positioning of the acetabular prosthesis has become the key of surgery. It has been proposed that the positioning of the transverse acetabular ligament can reduce the incidence of postoperative dislocation. This method of positioning is simple, rapid, and economical without assistance. It prevents the risk of high BMI and intraoperative rotation of the pelvis in place and helps beginners quickly grasp the technical essentials of acetabular prosthesis placement during THA. This article will review the basic anatomy of the transverse acetabular ligament and the importance of positioning the transverse acetabular ligament in THA from the angle, coverage, and center of rotation of the acetabular prosthesis.
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