Kempf I, Jenny J Y
Centre de Traumatologie et d'Orthopédie de Strasbourg, Illkirch, France.
Int Orthop. 1991;15(3):239-43. doi: 10.1007/BF00192301.
Between 1968 and 1987 we carried out a total replacement arthroplasty on 22 hips which were either ankylosed or had previously undergone arthrodesis. The hips were revised because of pain due to pseudoarthrosis or malposition, pain in the other joints such as the lumbar spine, the ipsilateral knee or the contralateral hip, fractures about the hip, or professional disability. Significant functional and subjective improvement was obtained. The revised hips were painfree, stable and had an average range of flexion of 70 degrees. Pain in other joints was improved if their degenerative changes were moderate, but many required further procedures. Revision of a hip arthrodesis to a replacement arthroplasty is a worthwhile procedure in suitable cases.
1968年至1987年间，我们对22例已融合或先前已接受关节固定术的髋关节进行了全髋关节置换术。这些髋关节因假关节形成或位置不当导致疼痛、腰椎、同侧膝关节或对侧髋关节等其他关节疼痛、髋关节周围骨折或职业残疾而进行翻修。获得了显著的功能和主观改善。翻修后的髋关节无疼痛、稳定，平均屈曲范围为70度。如果其他关节的退行性改变为中度，其疼痛会有所改善，但许多患者需要进一步治疗。在合适的病例中，将髋关节固定术翻修为置换术是一项值得的手术。
