Fujishiro Takaaki, Nishikawa Tetsuo, Takikawa Satoshi, Saegusa Yasuhiro, Yoshiya Shinichi, Kurosaka Masahiro
Department of Orthopaedic Surgery, Kobe University School of Medicine, Kobe, Japan.
J Arthroplasty. 2003 Jun;18(4):524-7. doi: 10.1016/s0883-5403(03)00073-1.
An 86-year-old woman underwent 4 revisions of hip arthroplasty and showed good position of both acetabular and femoral components. This was confirmed by roentgenographic measurements in the prone position. However, poor anterior acetabular covering after posterior inclination of the pelvis associated with lumbar kyphosis was observed in the standing position. Therefore, we reconstructed the iliofemoral ligament using a Leeds-Keio ligament to prevent anterior dislocation. At the 12-month follow-up evaluation, hip stability was confirmed, and the hip showed no further dislocation.
一名86岁女性接受了4次髋关节置换翻修手术，髋臼和股骨假体位置良好。俯卧位X线测量证实了这一点。然而，站立位时发现，骨盆后倾合并腰椎后凸导致髋臼前方覆盖不良。因此，我们使用利兹-庆应韧带重建髂股韧带以防止前脱位。在12个月的随访评估中，髋关节稳定性得到确认，且未再发生脱位。
