全髋关节置换术后孤立性髋臼翻修：5至9年随访结果
Isolated acetabular revision after total hip arthroplasty: results at 5-9 years of follow-up.
作者信息
Chen Xiao-Dong, Waddell James P, Morton Jane, Schemitsch Emil H
机构信息
Department of Orthopaedic Surgery, Xinhu Hospital Affiliated to Shanghai Second Medical University, 1665 Kongjiang Road, Shanghai, 200092, People's Republic of China.
出版信息
Int Orthop. 2005 Oct;29(5):277-80. doi: 10.1007/s00264-005-0674-2. Epub 2005 Aug 11.
Abstract
The purpose of the study was to determine whether isolated revision of the acetabular component can be successfully performed without disturbing the femoral stem and to determine the fate of the unrevised femoral stem following revision. Fifty-seven hips in 55 patients underwent isolated acetabular revision without removal of the femoral component. Thirty-three hips with minimal acetabular deficiency required no bone grafting; the remaining 24 hips were treated by morselized or structural allograft in addition to a new acetabular component. Twenty-two of these 24 hips demonstrated incorporation of the bone graft. A mean follow-up of 5.8 (5-9) years, all femoral and acetabular components were judged to be stable and well fixed.
摘要
该研究的目的是确定在不干扰股骨柄的情况下，能否成功地单独进行髋臼部件翻修，并确定翻修后未翻修股骨柄的转归。55例患者的57髋接受了未移除股骨部件的单独髋臼翻修。33髋髋臼缺损最小，无需植骨；其余24髋除植入新的髋臼部件外，还采用了碎骨或结构性同种异体骨移植治疗。这24髋中有22髋显示骨移植已融合。平均随访5.8（5 - 9）年，所有股骨和髋臼部件均被判定稳定且固定良好。
相似文献
1
Isolated acetabular revision after total hip arthroplasty: results at 5-9 years of follow-up.全髋关节置换术后孤立性髋臼翻修：5至9年随访结果
Int Orthop. 2005 Oct;29(5):277-80. doi: 10.1007/s00264-005-0674-2. Epub 2005 Aug 11.
2
Results of isolated acetabular revisions: the fate of the unrevised femoral component.单纯髋臼翻修的结果：未翻修股骨部件的转归
J Arthroplasty. 1998 Jan;13(1):42-9. doi: 10.1016/s0883-5403(98)90074-2.
3
The fate of stable femoral components retained during isolated acetabular revision: a six-to-twelve-year follow-up study.孤立性髋臼翻修术中保留的稳定股骨假体的转归：一项6至12年的随访研究。
J Bone Joint Surg Am. 2002 Feb;84(2):250-5. doi: 10.2106/00004623-200202000-00012.
4
Radiological evaluation of allograft reconstruction in acetabulum with Ganz reinforcement ring in revision total hip replacement.全髋关节置换翻修术中使用甘茨加强环进行髋臼同种异体骨重建的影像学评估。
J Orthop Sci. 2010 Nov;15(6):764-71. doi: 10.1007/s00776-010-1549-y. Epub 2010 Nov 30.
5
A well-fixed femoral stem facing a failed acetabular component: to exchange or not? A 5- to 15-year follow-up study.股骨柄固定良好但面对失败的髋臼部件：是否需要更换？一项 5 至 15 年的随访研究。
Orthop Traumatol Surg Res. 2012 Feb;98(1):24-9. doi: 10.1016/j.otsr.2011.08.014. Epub 2012 Jan 13.
6
Acetabular revision total hip arthroplasty using an impacted morselized allograft and a cementless cup: minimum 10-year follow-up.髋臼翻修全髋关节置换术采用打压植骨块异体骨和非骨水泥髋臼杯：至少 10 年随访。
J Arthroplasty. 2011 Oct;26(7):1057-60. doi: 10.1016/j.arth.2011.03.035. Epub 2011 May 17.
7
Should the well-fixed, uncemented femoral components be revised during isolated acetabular revision?在单纯髋臼翻修时，是否需要翻修固定良好、未骨水泥固定的股骨部件？
Arch Orthop Trauma Surg. 2011 Apr;131(4):481-5. doi: 10.1007/s00402-010-1152-x. Epub 2010 Jul 28.
8
[Bone grafts in hip prosthesis revisions].[髋关节假体翻修术中的骨移植]
Acta Chir Orthop Traumatol Cech. 2003;70(2):83-8.
9
[Selection of the type in revision total hip replacement for failed hip arthroplasty].[髋关节置换术失败后翻修全髋关节置换术类型的选择]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2004 Mar;18(2):135-7.
10
[Acetabular reconstruction using bone allograft in the revision of total hip prosthesis].[在全髋关节假体翻修中使用同种异体骨进行髋臼重建]
Rev Chir Orthop Reparatrice Appar Mot. 1998 Apr;84(2):154-61.
引用本文的文献
1
The impact of retaining the femoral stem in revision total hip arthroplasty: a systematic review, meta-analysis, and meta-regression.保留股骨柄在翻修全髋关节置换术中的影响：系统评价、荟萃分析和荟萃回归。
Arch Orthop Trauma Surg. 2024 Feb;144(2):947-966. doi: 10.1007/s00402-023-05087-3. Epub 2023 Oct 13.
2
Survivorship of the retained femoral component after revision total hip arthroplasty: A systematic review and meta-analysis.翻修全髋关节置换术后保留股骨假体的生存率：一项系统评价和荟萃分析。
Front Surg. 2022 Oct 13;9:988915. doi: 10.3389/fsurg.2022.988915. eCollection 2022.
3
Acetabular defect reconstruction in revision hip arthroplasty with a modular revision system and biological defect augmentation.采用模块化翻修系统及生物性缺损增强技术进行髋关节翻修术中髋臼缺损的重建。
Int Orthop. 2015 Apr;39(4):623-30. doi: 10.1007/s00264-014-2533-5. Epub 2014 Oct 4.
4
Acetabular reconstruction using a free fibular autograft in total hip arthroplasty revisions.全髋关节置换翻修术中使用游离腓骨自体骨进行髋臼重建。
Int Orthop. 2014 Dec;38(12):2447-53. doi: 10.1007/s00264-014-2439-2. Epub 2014 Jul 20.
5
Modular sleeves with ceramic heads in isolated acetabular cup revision in younger patients-laboratory and experimental analysis of suitability and clinical outcomes.带陶瓷头的模块化袖套在年轻患者的孤立髋臼杯翻修中的应用：适合性的实验室和实验分析及临床结果。
Int Orthop. 2013 Jan;37(1):15-9. doi: 10.1007/s00264-012-1735-y. Epub 2012 Dec 7.
6
A dual-mobility cup reduces risk of dislocation in isolated acetabular revisions.双动杯降低了孤立髋臼翻修中脱位的风险。
Clin Orthop Relat Res. 2012 Dec;470(12):3542-8. doi: 10.1007/s11999-012-2428-y. Epub 2012 Jun 15.
7
Alumina heads minimize wear and femoral osteolysis progression after isolated simple acetabular revision.氧化铝头可最大程度地减少单纯髋臼翻修术后的磨损和股骨骨溶解进展。
Clin Orthop Relat Res. 2012 Nov;470(11):3094-100. doi: 10.1007/s11999-012-2363-y.
8
Outcomes of isolated acetabular revision.单纯髋臼翻修的结果。
Clin Orthop Relat Res. 2010 Feb;468(2):472-9. doi: 10.1007/s11999-009-1104-3.
本文引用的文献
1
The fate of stable femoral components retained during isolated acetabular revision: a six-to-twelve-year follow-up study.孤立性髋臼翻修术中保留的稳定股骨假体的转归：一项6至12年的随访研究。
J Bone Joint Surg Am. 2002 Feb;84(2):250-5. doi: 10.2106/00004623-200202000-00012.
2
Revision Total Hip Arthroplasty: The Femoral Component.翻修全髋关节置换术：股骨部件
J Am Acad Orthop Surg. 1995 Mar;3(2):79-85. doi: 10.5435/00124635-199503000-00003.
3
Charnley total hip arthroplasty in patients less than fifty years old. A twenty to twenty-five-year follow-up note.50岁以下患者的Charnley全髋关节置换术。一份20至25年的随访记录。
J Bone Joint Surg Am. 1998 May;80(5):704-14. doi: 10.2106/00004623-199805000-00011.
4
Osteolysis: cause and effect.骨质溶解：因果关系
Instr Course Lect. 1998;47:307-20.
5
Results of isolated acetabular revisions: the fate of the unrevised femoral component.单纯髋臼翻修的结果：未翻修股骨部件的转归
J Arthroplasty. 1998 Jan;13(1):42-9. doi: 10.1016/s0883-5403(98)90074-2.
6
Isolated revision acetabuloplasty using a porous-coated cementless acetabular component without removal of a well-fixed femoral component. A 3- to 9-year follow-up study.使用带多孔涂层的非骨水泥髋臼部件进行孤立性翻修髋臼成形术，不取出固定良好的股骨部件。一项3至9年的随访研究。
J Arthroplasty. 1997 Oct;12(7):719-27. doi: 10.1016/s0883-5403(97)90000-0.
7
Comparative results of a distal modular sleeve, circumferential coating, and stiffness relief using the Anatomic Porous Replacement II.使用解剖型多孔置换II的远端模块化套筒、周向涂层和刚度减轻的对比结果。
J Arthroplasty. 1996 Jun;11(4):419-28. doi: 10.1016/s0883-5403(96)80032-5.
8
Removal and reinsertion of cemented femoral components during acetabular revision.髋臼翻修术中骨水泥型股骨假体的取出与重新植入。
J Arthroplasty. 1996 Feb;11(2):146-52. doi: 10.1016/s0883-5403(05)80008-7.
9
The porous-coated anatomic total hip prosthesis: failure of the metal-backed acetabular component.多孔涂层解剖型全髋关节假体：金属背衬髋臼部件的失效
J Bone Joint Surg Am. 1996 May;78(5):755-66. doi: 10.2106/00004623-199605000-00016.
10
Revision of the acetabular component of a total hip arthroplasty with a massive structural allograft. Study with a minimum five-year follow-up.
J Bone Joint Surg Am. 1996 May;78(5):693-7. doi: 10.2106/00004623-199605000-00008.
Zotero 插件