Nicholl J E, Koka S R, Bintcliffe I W, Addison A K
Eastbourne District General Hospital.
Ann R Coll Surg Engl. 1999 Mar;81(2):127-32.
Twenty-eight unstable total hip arthroplasties were treated with an acetabular augmentation wedge. Of the hips, 23 have had no further dislocations at a mean follow-up of 26 months. Five patients continued to dislocate and have needed further surgery. To our knowledge this is the largest reported series of acetabular augmentation with as good results as those of the most successful reported series of this technique, and a success rate comparable to other methods of treating recurrent dislocation. Careful patient selection, and using a thin augmentation wedge to avoid impingement, are important to the success of a technique which is a useful option in the management of recurrent dislocation.
28例不稳定全髋关节置换术采用髋臼增强楔形块进行治疗。在这些髋关节中，23例在平均26个月的随访中未再发生脱位。5例患者持续出现脱位，需要进一步手术治疗。据我们所知，这是报告的最大系列髋臼增强病例，其结果与该技术最成功的报告系列一样好，成功率与治疗复发性脱位的其他方法相当。仔细选择患者，并使用薄的增强楔形块以避免撞击，对于该技术的成功很重要，该技术是治疗复发性脱位的一种有用选择。
