Stiehl J B
Medical College of Wisconsin, Milwaukee.
Orthop Rev. 1992 Sep;21(9):1057-63.
Rigid graft fixation with cortical loading through the graft to protect from stress shielding is an important goal during femoral allograft reconstruction in revision total hip arthroplasty. Total proximal femur allografts require intramedullary prosthetic splinting and a step-cut osteotomy or extended lateral allograft plate for the most secure fixation and ultimate union. Nonunion and dislocation are the most critical complications, and infection rates are similar to other reconstruction procedures. This review discusses the principles and application of allografts in femoral revision total hip arthroplasty.
在翻修全髋关节置换术中进行股骨同种异体骨重建时，通过移植物实现皮质骨负荷的刚性移植物固定以防止应力遮挡是一个重要目标。全股骨近端同种异体骨需要髓内假体支撑以及阶梯式截骨术或延长的外侧同种异体骨板，以实现最牢固的固定和最终愈合。骨不连和脱位是最关键的并发症，感染率与其他重建手术相似。本文综述了同种异体骨在股骨翻修全髋关节置换术中的应用原则。
