Restrictions on Social Activities and Total Hip Replacement in Patients with an Ankylosed Hip

二木 康之

FUTAGI Yasuyuki

佛教大学

Bukkyo University

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抄録
股関節固定者における二次障害と人工股関節全置換術の予後について考察した。股関節固定によって下肢の支持性は確保されるが、隣接諸関節に過剰なストレスが加わるために、時間の経過とともに腰痛症、膝関節症、反対側の股関節症を発症するにいたる。これらの症状はしだいに悪化の一途をたどり、社会活動の制限や生活の質の低下を招く。固定をはずして人工股関節へ転換した場合、筋力回復には長時間を要するが、予後は全体として良好である。人工股関節への転換術は股関節固定者における隣接関節症状緩和のための最も合理的な対処法である。

Until the late 1970s, arthrodesis of the hip was regarded as one of the most reliable treatments for septic arthritis or traumatic injury. However, with time, a fused hip is often associated with intractable pain in the lower back and knees, which leads to serious restrictions on social activities in ankylosed patients. In recent years, the conversion of a fused hip to total hip replacement has been attempted to relieve the pain in neighboring joints. Most studies have found that the long-term outcome of the conversion in terms of walking ability and pain is generally favorable. To relieve overstressing of the adjacent joints, the most logical solution is the conversion of a fused hip to total hip replacement. The adjacent joints should not be directly treated while the hip remains ankylosed.

収録刊行物
障害者問題研究 [収録刊行物詳細]
Japanese journal for the problems of the handicapped 35(4) pp.308-313 20080200 [目次]

全国障害者問題研究会