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全髋关节置换术后股骨近端骨质流失

Proximal femoral bone loss after total hip arthroplasty.

作者信息

Roberson J R

机构信息

Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia.

出版信息

Orthop Clin North Am. 1992 Apr;23(2):291-302.

PMID:1570141
Abstract

The cause of bone loss from the proximal femur after total hip arthroplasty is multifactorial and may progress to a degree at which loss of support for the femoral component occurs. The most durable means of reconstructing the deficient proximal femur involves bone grafting techniques designed to restore mechanical integrity. Because there is seldom an adequate quantity of autogenous bone available, allograft bone is frequently used. The indications and limitations of this procedure are described as are other treatment options.

摘要

全髋关节置换术后股骨近端骨质流失的原因是多因素的,并且可能发展到一定程度,导致股骨假体失去支撑。重建股骨近端缺损最持久的方法涉及旨在恢复机械完整性的骨移植技术。由于自体骨的可用量很少,同种异体骨经常被使用。本文描述了该手术的适应症和局限性以及其他治疗选择。

相似文献

1
Proximal femoral bone loss after total hip arthroplasty.全髋关节置换术后股骨近端骨质流失
Orthop Clin North Am. 1992 Apr;23(2):291-302.
2
Revision total hip arthroplasty in the deficient femur with a proximal load-bearing prosthesis.使用近端承重假体对股骨缺损患者进行全髋关节翻修置换术。
Clin Orthop Relat Res. 1994 Jan(298):119-26.
3
Restoration of femoral bone stock in revision total hip arthroplasty.翻修全髋关节置换术中股骨骨量的恢复
Orthop Clin North Am. 1993 Oct;24(4):697-703.
4
The use of a cementless femoral component for the management of bone loss in revision hip arthroplasty.在翻修髋关节置换术中使用非骨水泥型股骨假体来处理骨缺损。
Bull Hosp Jt Dis. 1996;55(1):28-32.
5
[Changes in bone mineral density in the proximal femur 18 months after total hip arthroplasty with Exeter stem].[使用Exeter柄进行全髋关节置换术后18个月股骨近端骨密度的变化]
Ugeskr Laeger. 2005 Feb 28;167(9):1038-41.
6
Altered load history affects periprosthetic bone loss following cementless total hip arthroplasty.改变的负荷历史会影响非骨水泥型全髋关节置换术后假体周围骨丢失。
J Orthop Res. 1996 Sep;14(5):762-8. doi: 10.1002/jor.1100140513.
7
[Femoral reconstruction with endosteal bone allografts protected by a metallic mesh in reoperation of total hip prosthesis. 19 cases with an average follow-up of 83 months].[金属网保护下的骨内膜同种异体骨移植用于全髋关节置换翻修术中的股骨重建。19例患者,平均随访83个月]
Rev Chir Orthop Reparatrice Appar Mot. 1997;83(4):360-7.
8
Proximal femoral allografts for reconstruction of bone stock in revision arthroplasty of the hip.用于髋关节翻修术中骨量重建的近端股骨同种异体骨移植。
Instr Course Lect. 1996;45:143-7.
9
Complications of proximal femoral allografts in revision total hip arthroplasty.翻修全髋关节置换术中股骨近端同种异体骨移植的并发症
Clin Orthop Relat Res. 1993 Oct(295):161-7.
10
[Femoral reconstruction with massive allograft implanted in a split femur. Mid-term results of 18 reconstructions].[采用大块同种异体骨植入劈开股骨进行股骨重建。18例重建的中期结果]
Rev Chir Orthop Reparatrice Appar Mot. 2000 Dec;86(8):801-8.

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Conservative femoral revision using short cementless stems with a tapered rectangular shape for selected Paprosky II-IV bone defects: an average seven-year follow-up.使用短柄非骨水泥型锥形矩形柄对选定的Paprosky II-IV型骨缺损进行股骨保守翻修:平均七年随访
Arthroplasty. 2024 Jun 21;6(1):38. doi: 10.1186/s42836-024-00251-5.
2
Nonmodular Tapered Fluted Titanium Stems Osseointegrate Reliably at Short Term in Revision THAs.非模块化锥形带槽钛柄在翻修全髋关节置换术中短期内能可靠地实现骨整合。
Clin Orthop Relat Res. 2017 Jan;475(1):186-192. doi: 10.1007/s11999-016-5091-x. Epub 2016 Sep 26.
3
Results of Wagner SL revision stem with impaction bone grafting in revision total hip arthroplasty.
全髋关节置换翻修术中采用打压植骨的瓦格纳SL翻修柄的结果。
Indian J Orthop. 2013 Jul;47(4):357-63. doi: 10.4103/0019-5413.114919.
4
Proximal femoral replacement in the management of acute periprosthetic fractures of the hip: a competing risks survival analysis.髋关节周围假体周围骨折的近端股骨置换:竞争风险生存分析。
J Arthroplasty. 2014 Feb;29(2):422-7. doi: 10.1016/j.arth.2013.06.009. Epub 2013 Jul 12.
5
Proximal femoral replacement and allograft prosthesis composite in the treatment of periprosthetic fractures with significant proximal bone loss.近端股骨置换和同种异体骨假体复合材料治疗伴有明显近端骨丢失的假体周围骨折。
Orthop Surg. 2012 Nov;4(4):203-10. doi: 10.1111/os.12000.