Clohisy John C, Calvert George, Tull Frank, McDonald Douglas, Maloney William J
Department of Orthopaedic Surgery, Barnes-Jewish Hospital/ Washington University School of Medicine, St. Louis, MO 63110, USA.
Clin Orthop Relat Res. 2004 Dec(429):188-92. doi: 10.1097/01.blo.0000150126.73024.42.
The purpose of this study was to determine the indications for contemporary revision hip surgery in a consecutive series of patients. We retrospectively reviewed the clinical records and radiographs of 439 revision hip surgeries done between 1996 and 2003. Fifty-five percent of the surgeries were for aseptic loosening, 14% were for instability, 13% were for osteolysis around a well-fixed implant, 7% were for infection, 5% were for periprosthetic fracture, 3% were for conversion of a hemiarthroplasty, 1% was for psoas impingement, 1% was for loose recalled implants, and 1% was for implant fracture. As expected, aseptic loosening was the most common reason for revision surgery. Instability was a common reason for early revision whereas revision for osteolysis around a well-fixed implant was a more common reason for late revision.
本研究的目的是确定一系列连续患者中当代髋关节翻修手术的指征。我们回顾性分析了1996年至2003年间进行的439例髋关节翻修手术的临床记录和X线片。55%的手术是针对无菌性松动，14%是针对不稳定，13%是针对固定良好的植入物周围的骨溶解，7%是针对感染，5%是针对假体周围骨折，3%是针对半关节置换术的转换，1%是针对腰大肌撞击，1%是针对召回的松动植入物，1%是针对植入物骨折。正如预期的那样，无菌性松动是翻修手术最常见的原因。不稳定是早期翻修的常见原因，而针对固定良好的植入物周围骨溶解的翻修是晚期翻修更常见的原因。
