非水泥股骨假体对全髋置换术后大腿疼痛的影响△

Influence of femoral stem on thigh pain after cementless total hip arthroplasty

摘要:

全髋关节置换术在治疗终末期髋关节骨性关节炎等疾病方面取得成功的发展。骨水泥全髋关节置换术，由于其与假体周围骨溶解、置入物松动相关的并发症，在 20 世纪 80 年代早期被非骨水泥全髋关节置换术取代。尽管非骨水泥全髋关节置换术已经取得良好的临床效果，但大腿疼痛仍然是一个严重的术后并发症，严重影响患者的术后满意度和生活质量。然而，目前关于大腿疼痛病因的研究较少。来自于中长期随访研究的数据表明大腿疼痛与股骨假体自身特性相关。本文旨在回顾近年来的研究，总结影响非骨水泥全髋关节置换术后大腿疼痛的股骨假体因素，并分析其原因。

关键词:全髋关节置换术;非骨水泥;髋关节;股骨假体;大腿疼痛

Abstract:

Total hip arthroplasty (THA) has been successfully developed in the treatment of end- stage osteoarthritis of the hip. Ce- mented total hip arthroplasty was replaced by cementless total hip arthroplasty in the early 1980s due to the former’s complications associat- ed with periprosthetic osteolysis, implant loosening. Despite of the fact that cementless total hip arthroplasty has achieved excellent clinical results, thigh pain after cementless total hip arthroplasty is still a serious postoperative complication. The postoperative satisfaction and quality of life of patients were seriously impacted by thigh pain. However, little information about the etiology of thigh pain after cementless total hip arthroplasty is available. Data from mid-term and long-term follow-up studies suggest that thigh pain is related to the properties of the femoral stem. This review aims to review recent studies, summarize the factors that femoral stem associated with thigh pain after ce- mentless total hip arthroplasty, and analyze potential causes.

Key words:total hip arthroplasty; cementless; hip joint; femoral stem; thigh pain