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Hip Joint Replacement Using Monofilament Polypropylene Surgical Mesh: An Animal Model

机译:使用单丝聚丙烯外科手术网的髋关节置换:一种动物模型

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摘要

Hip joint dysplasia is a deformation of the articular elements (pelvic acetabulum, head of the femur, and/or ligament of the head of the femur) leading to laxity of the hip components and dislocation of the femoral head from the pelvic acetabulum. Diagnosis is based on symptoms observed during clinical and radiological examinations. There are two treatment options: conservative and surgical. The classic surgical procedures are juvenile pubic symphysiodesis (JPS), triple pelvic osteotomy (TPO), total hip replacement (THR), and femoral head and neck resection (FHNE). The aim of this experiment was to present an original technique of filling the acetabulum with a polypropylene implant, resting the femoral neck directly on the mesh. The experiment was performed on eight sheep. The clinical value of the new surgical technique was evaluated using clinical, radiological, and histological methods. This technique helps decrease the loss of limb length by supporting the femoral neck on the mesh equivalent to the femoral head. It also reduces joint pain and leads to the formation of stable and mobile pseudarthrosis. The mesh manifested osteoprotective properties and enabled the formation of a stiff-elastic connection within the hip joint. The method is very cost-effective and the technique itself is simple to perform.
机译:髋关节发育不良是关节要素(骨盆髋臼,股骨头和/或股骨头韧带)的变形,导致髋关节松弛和股骨头从骨盆髋臼脱位。诊断基于在临床和放射学检查期间观察到的症状。有两种治疗选择:保守治疗和手术治疗。经典的外科手术方法是青少年耻骨联合术(JPS),三重骨盆切骨术(TPO),全髋关节置换术(THR)和股骨头和颈部切除术(FHNE)。该实验的目的是提出一种用聚丙烯植入物填充髋臼的原始技术,将股骨颈直接放置在网上。实验是对八只羊进行的。使用临床,放射学和组织学方法评估了新手术技术的临床价值。该技术通过将股骨颈支撑在相当于股骨头的网格上,有助于减少肢体长度的损失。它还可以减轻关节疼痛,并导致稳定和活动性假关节的形成。该网状物表现出骨保护特性,并且能够在髋关节内形成刚性-弹性连接。该方法非常具有成本效益,并且该技术本身易于执行。

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