髋关节置换术患者随访20年的步行模式

F. Catani, S. Giannini, F. Bombardi, M. Marcacci, F. Ceccarelli
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摘要

本研究的目的是关注髋关节融合术患者的步态模式异常,并将其与年龄和性别相似的正常人群相关联。长期随访(本例为20年)的重要性在于评估与融合髋关节相关的生物力学和解剖学关节是否存在继发性退行性关节病。研究发现,基本的步态异常是由于运动学和动力学的改变,这些改变是代偿机制用来克服髋关节屈伸、腹肌内收和内外旋转不足的结果。髋关节融合术患者的步态特点是在站立阶段的前半段,骨盆矢状和横向旋转增加,正常髋关节运动增加,单侧膝关节伸展减少。
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Walking patterns in 20 years follow-up hip joint arthrodesis patients
The purpose of this study was to focus on gait pattern abnormality in hip-joint arthrodesis patients and correlate them with a normal population similar in age and sex. The importance of a long-term follow-up (in this case 20 years) is to assess the presence of secondary degenerative arthrosis in joints which are biomechanically and anatomically correlated to the fused hip. It is found that basic gait abnormalities are due to kinematic and kinetic alterations that are the result of compensatory mechanisms used to overcome the lack of hip flexion-extension, ab-adduction and external-internal rotation. The hip-joint arthrodesis patient gait is characterized by an increased sagittal and transverse rotation of the pelvis, increased motion of the sound hip, and a decreased omolateral knee extension during the first part of the stance phase.<>
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