Total hip arthroplasty for ankylosing spondylitis: an intermediate-term follow-up study of seventeen cases

吴思宇; 孙红振; 杜全印; 王子明; 王爱民

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Total hip arthroplasty for ankylosing spondylitis: an intermediate-term follow-up study of seventeen cases

更新时间：2026-01-09

- Total hip arthroplasty for ankylosing spondylitis: an intermediate-term follow-up study of seventeen cases
- Journal of Army Medical University Vol. 31, Issue 6, Pages: 538-540(2009)
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  CLC： R318.17;R593.230.6;R681.605
- Published：2009
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吴思宇,孙红振,杜全印,王子明,王爱民.人工全髋关节置换术治疗强直性脊柱炎髋关节病变[J].陆军军医大学学报(原第三军医大学学报),2009,31(06):538-540.

　WU Si-yu,SUN Hong-zhen,DU Quan-yin,WANG Zi-ming,WANG Ai-min.Total hip arthroplasty for ankylosing spondylitis: an intermediate-term follow-up study of seventeen cases[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(06):538-540.
吴思宇,孙红振,杜全印,王子明,王爱民.人工全髋关节置换术治疗强直性脊柱炎髋关节病变[J].陆军军医大学学报(原第三军医大学学报),2009,31(06):538-540. DOI：

　WU Si-yu,SUN Hong-zhen,DU Quan-yin,WANG Zi-ming,WANG Ai-min.Total hip arthroplasty for ankylosing spondylitis: an intermediate-term follow-up study of seventeen cases[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(06):538-540. DOI：

摘要

目的分析人工全髋关节置换术治疗强直性脊柱炎患者的中期疗效。方法对17例(26髋)强直性脊柱炎患者行人工全髋关节置换术

随访时间平均3.8(2～7)年。临床随访根据Harris评分系统进行评分

并进行X线分析。结果 Harris评分由术前的平均27(4～47)分提高到了术后的平均81.3(57～90)分，优良率88.5%；X线片未见假体松动、脱位或折断；异位骨化发生率15.3%(4髋)。结论人工全髋关节置换术治疗强直性脊柱炎患者髋关节病变

近、中期疗效较肯定。

Abstract

Objective To evaluate the intermediate-term efficacy of total hip arthroplasty (THA) in the management of ankylosing spondylitis (AS). Methods THA was performed in 26 hips of 17 AS patients

and the patients were followed up for average 3.8 (ranging 2 to 7 ) years. The clinical outcomes were evaluated by the Harris hip scoring system

radiographic analysis by Gruen’s zonal method for the stem and the zonal classification of Delee and Charnley for the cup implants. Results The average Harris hip score improved from preoperative 27 (ranging 4 to 47) to 81.3 (ranging 57 to 90) at the final postoperative evaluation. The overall clinical outcomes were rated as good or excellent in 88.5%. There were no signs of loosening

dislocation or fracture of the prosthesis. According to the system of Brooker

the incidence of heterotopic ossification was 15.3% (4 hips). Conclusion Our intermediate-term follow-up indicates THA is an effective method for AS patients to reconstruct the function of hip joint.

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