Barrack Robert L, Burnett R Stephen J
Washington University School of Medicine, and Orhopedic Surgery Services, Adult Reconstructive Surgery, Barnes-Jewish Hospital, St. Louis, Missouri, USA.
Instr Course Lect. 2006;55:233-44.
Revision total hip arthroplasty is associated with more perioperative complications and unexpected findings than are encountered during primary total hip arthroplasty. Special instruments, implants, bone grafts, and other accessories may be required to treat complex problems that arise during revision surgery. Preoperative planning is important to anticipate potential complications and to ensure that all possible needed materials are readily available during surgery. Patients and their families also should be counseled on the specific additional risk factors involved in this complex surgery. An organized approach to revision total hip arthroplasty helps to reduce surgical time, minimize risks, decrease the stress level of the entire surgical team, and to increase the rate of successful outcomes for patients.
与初次全髋关节置换术相比，翻修全髋关节置换术会出现更多的围手术期并发症和意外情况。处理翻修手术中出现的复杂问题可能需要特殊器械、植入物、骨移植材料和其他配件。术前规划对于预测潜在并发症以及确保手术过程中所有可能需要的材料随时可用非常重要。还应向患者及其家属说明这种复杂手术所涉及的特定额外风险因素。采用有条理的方法进行翻修全髋关节置换术有助于缩短手术时间、将风险降至最低、降低整个手术团队的压力水平，并提高患者的成功治疗率。
