目的:研究在儿科人群中进行髋关节固定术治疗髋关节疼痛性关节炎的长期结果。在我们的患者群体中,他们中的大多数人生活在丘陵地带,医疗服务和资源有限,髋关节固定术是儿童单关节疼痛髋关节的重要手术选择。
方法:对先前报道的28名儿童进行了随访调查,平均时间为4.8岁。本研究调查了26例儿童髋关节固定术患者,平均随访20年(15至29年)。
结果:平均Harris髋关节评分(HHS)从术前的39.60(SD11.06)增加到最终评估时的81.02(SD8.86;p=0.041)。在最新的随访中,4名患者(15%)的HHS表现良好,在11(42%)中表现良好,和公平的11(42%)。共有16例患者(62%)报告轻度腰背痛,5人(19%)有中度疼痛,5例(19%)患者无背痛。19例(73%)报告轻度同侧膝关节疼痛,中度疼痛1次(4%),6名(23%)患者没有疼痛。10例患者(38%)报告轻度对侧髋部疼痛,16岁时没有疼痛(62%)。36项简短表格健康调查得分在四名患者(15%)中非常好,18(70%)穷人中的四个(15%),平均得分为70.92(SD12.65)。在13名分娩的女性患者中,12这样做了简单的阴道分娩。所有患者都必须改变自己的坐姿来如厕,穿上下半身的衣服,足部护理,穿上鞋子.
结论:我们的结果表明,髋关节固定术,大多数患者在长期随访中具有相对良好的功能,虽然相邻关节有一些疼痛,在日常生活的一些活动中进行修改是很常见的。引用本文:骨关节J2022;104-B(9):1089-1094。
OBJECTIVE: To examine the long-term outcome of arthrodesis of the hip undertaken in a paediatric population in treating painful arthritis of the hip. In our patient population, most of whom live rurally in hilly terrain and have limited healthcare access and resources, hip arthrodesis has been an important surgical option for the monoarticular painful hip in a child.
METHODS: A follow-up investigation was undertaken on a cohort of 28 children previously reported at a mean of 4.8 years. The present study looked at 26 patients who had an arthrodesis of the hip as a child at a mean follow-up of 20 years (15 to 29).
RESULTS: The mean Harris Hip Score (HHS) increased from 39.60 (SD 11.06) preoperatively to 81.02 (SD 8.86; p = 0.041) at final
review. At latest follow-up, the HHS was found to be excellent in four patients (15%), good in 11 (42%), and fair in 11 (42%). A total of 16 patients (62%) reported mild low back pain, five (19%) had moderate pain, and five (19%) patients had no back pain. Mild ipsilateral knee pain was reported by 19 (73%), moderate pain by one (4%), and no pain by six (23%) patients. Mild contralateral hip pain was reported by ten patients (38%), and no pain by 16 (62%). The 36-Item Short Form Health Survey scores were very good in four patients (15%), good in 18 (70%), and poor in four (15%), with a mean score of 70.92 (SD 12.65). Of 13 female patients who had given birth, 12 did so with uncomplicated vaginal delivery. All patients had to modify their posture for toileting, putting on lower body clothes, foot care, and putting on shoes.
CONCLUSIONS: Our results show that with hip arthrodesis, most patients have relatively good function at long-term follow-up, although some pain is experienced in adjacent joints, and modification in some activities of daily living is common.Cite this article: Bone Joint J 2022;104-B(9):1089-1094.