English H, Timperley A J, Dunlop D, Gie G
Princess Elizabeth Orthopaedic Centre, Exeter, England.
J Bone Joint Surg Br. 2002 Jul;84(5):700-5. doi: 10.1302/0301-620x.84b5.12504.
We report the mid-term results of femoral impaction grafting which was used in 53 patients during the second stage of a two-stage revision for an infected total hip replacement. We reviewed all cases performed between 1989 and 1998. All patients underwent a Girdlestone excision arthroplasty, received local and systemic antibiotics and subsequently underwent reconstruction, using femoral impaction grafting. Four patients had further infection (7.5%), and four died within 24 months of surgery. One patient underwent revision of the stem for a fracture below its tip at ten months. This left 44 patients with a mean follow-up of 53 months (24 to 122). All had improved clinical scores and a satisfactory radiological outcome.
我们报告了在两期翻修手术的第二阶段用于53例感染性全髋关节置换患者的股骨打压植骨中期结果。我们回顾了1989年至1998年间实施的所有病例。所有患者均接受了Girdlestone关节切除成形术，接受了局部和全身抗生素治疗，随后采用股骨打压植骨进行重建。4例患者出现进一步感染（7.5%），4例在术后24个月内死亡。1例患者在术后10个月因假体柄尖端以下骨折接受了翻修。这使得44例患者平均随访53个月（24至122个月）。所有患者的临床评分均有所改善，影像学结果令人满意。
