髖關節固定術是一種很古老的手術,最早是應用於結核性髖關節病變,後應用於有其他病變的髖關節。雖然語於醫藥的進步及人工髖關節的發達,使得此種固定手術日漸不被採用。但在某些特殊狀況下,例如年輕人,活動力強或是肥胖的病人,其髖關節有問題時,髖關節固定術,仍有其特殊的優點。 三軍總醫院近十五年來,共經歷二十例的髖關節固定術,特就病因,手術方法,骨癒合情形及術後長期追蹤,其他關節功能檢查,各項目分析比較,做一詳細報告。
From 1973 to 1986, there had been twenty-two patients who underwent hip arthrodesis at the Tri-Service General Hospital. However two of them had no available data and lost follow-up, so there were only twenty cases included in this study. We evaluated the results in twenty patients who had received hip arthrodesis averaged for six years (ranged from two to fifteen years). We assessed the functional abilities, limitations, and employment of each patient and the current status of the opposite hip, the knees and the back. Ninety per cent of the patients were satisfied with the arthrodesis, and all were able to work. Of these working patients, five (28 per cent) were currently engaged in strenuous occupations and ten (55 per cent) were engaged in work of intermediate intensity. Only two patients (10 per cent) were dissatisfied and asked for conversion to total hip arthroplasty.