Nilsson J, Gustafson P, Fornander P, Ornstein E
Department of Orthopedics, University Hospital, Lund, Sweden.
Acta Orthop Scand. 2000 Dec;71(6):591-6. doi: 10.1080/000164700317362226.
We report the outcome in 32 patients operated on for advanced periacetabular metastatic destruction, where all but 2 had Harrington class III destruction. The patients were operated on using the Harrington reconstruction technique, where threaded pins and cement and a total hip replacement are used to reconstruct the acetabulum and ilium. The median survival was 11 (0-106+) months. 13 patients lived for a year or more. At follow-up after 1 year, 10 of the 13 were free of pain at rest and weight-bearing, 6 were walking with and 7 without support, and 11 lived outside a health care facility. 2 patients died within 2 weeks of surgery, both of excessive peroperative bleeding. 2 patients had dislocations, 1 developed a deep infection, and 2 patients deep vein thrombosis. There were no complications caused by erroneous pin placement or intraoperative thromboembolic incidents. There were no mechanical failures, or radiographic signs of loosening, of the pelvic components. The Harrington reconstruction technique is an effective and long-lasting method to relieve pain and restore function in patients with advanced periacetabular metastatic destruction.
我们报告了32例因髋臼周围转移性骨破坏晚期接受手术治疗患者的治疗结果，其中除2例患者外均为哈灵顿III级破坏。这些患者采用哈灵顿重建技术进行手术，使用螺纹针、骨水泥和全髋关节置换来重建髋臼和髂骨。中位生存期为11（0 - 106 +）个月。13例患者存活了一年或更长时间。术后1年随访时，13例患者中有10例在休息和负重时无痛，6例可独立行走，7例需借助辅助工具行走，11例生活在医疗机构之外。2例患者在术后2周内死亡，均死于术中出血过多。2例患者发生脱位，1例发生深部感染，2例发生深静脉血栓形成。未发生因钢针误置或术中血栓栓塞事件导致的并发症。骨盆组件未出现机械故障或影像学上的松动迹象。哈灵顿重建技术是一种有效且持久的方法，可缓解晚期髋臼周围转移性骨破坏患者的疼痛并恢复其功能。
