THAY KHỚP HÁNG TOÀN PHẦN CÓ XI MĂNG potx

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ÑAÙNH GIAÙ KEÁT QUAÛ

THAY KHÔÙP HAÙNG TOAØN PHAÀN COÙ XI MAÊNG

KHOA CHI DÖÔÙI – BEÄNH VIEÄN CHAÁN THÖÔNG CHÆNH HÌNH

Ñoã Höõu Thaéng (1), Leâ Phuùc (2), Nguyeån vaên Giaùp (2),

Voõ Quoác Trung (1), Nguyeãn Vaên Quang (3) vaø CS

TOÙM TAÉT

Trong 5 naêm, töø thaùng 01/1995 ñeán thaùng 12/1999, Khoa Chi Döôùi – BV CTCH ñaõ

thöïc hieän phaãu thuaät 133 tröôøng hôïp thay khôùp haùng toaøn phaàn cho 120 beänh nhaân (coù 13

beänh nhaân thay 2 beân).

• Keát quaû ban ñaàu: döïa treân chæ soá Merle D’ Auibigneù:

+ 93,2% cho keát quaû toát vaø raát toát.

+ 3,4% cho keát quaû trung bình.

+ 2, 5% cho keát quaû xaáu.

• Tyû leä nhieãm truøng : 3% (moät tröôøng hôïp phaûi laáy boû khôùp).

• Tyû leä traät khôùp sau moå : 5,2%.

• Tyû leä gaõy xöông ñuøi : 2,2%.

Theo doõi laâu daøi töø 1995 ñeán nay, ngaén nhaát laø 4 naêm cho keát quaû:

• Gaõy xöông quanh khôùp nhaân taïo : 3 tröôøng hôïp.

• Loûng khôùp : 12 tröôøng hôïp.

• Moå thay laïi khôùp haùng : 6 tröôøng hôïp.

SUMMARY

Total hip arthoplasty with cement at The Lower Limb Deparment

Hospital for Traumatology and Orthopaedics

Do Huu Thang, Le Phuc, Nguyen Van Giap,

Vo Quoc Trung, Nguyen Van Quang, The Lower Limb Department

Hospital for Traumatology and Orthopaedics, HCMC

One hundred and thirty – three cases of hip arthroplasty had been done for one

hundred and twenty patiens between January 1995 to December 1999 at the Lower Limb

Department of the Hospital for Traumatology and Orthopaedics. The functional hip result

(Merle D’ Aubigneù hip score): excellent and good results was 93.2 percent, fair: 3.4 percent,

and poor: 2.5 percent. Complications after operation: infection 3 percent, dislocation 5.2

percent and femoral fracture 2.2 percent. Long term follow – up from 1995 to May 2004,

result: fracture periprosthesis 3 cases; aseptic loosening 12 cases; revision 6 cases.

(1) Baùc só Khoa Chi Döôùi, BVCTCH TPHCM.

(2) Baùc só Phoù Khoa Chi Döôùi.

(3) Baùc só Chuyeân khoa II, Tröôûng khoa Chi Döôùi.