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[既往股骨近端截骨术后的全髋关节置换术]

[Total Hip Arthroplasty after previous proximal femoral osteotomy].

作者信息

Shigematsu Masamori, Hotokebuchi Takao

机构信息

Saga University, Faculty of Medicine, Department of Orthopaedic Surgery.

出版信息

Clin Calcium. 2007 Jun;17(6):947-53.

PMID:17548936
Abstract

It is technically difficult to perform total hip arthroplasty (THA) after osteotomy because the proximal femur may be deformed after primary osteotomy. For the deformity of femur, combination with femoral osteotomy should be performed. The results obtained on performing THA after osteotomy have been described by some investigators. The main reasons of failure were malposion of stem, intraoperative fracture, dislocation, nonunion, and infection. This paper treats regards to avert these complications.

摘要

截骨术后进行全髋关节置换术(THA)在技术上存在困难,因为初次截骨后股骨近端可能会发生畸形。对于股骨畸形,应结合股骨截骨术进行处理。一些研究者已经描述了截骨术后进行THA的结果。失败的主要原因包括假体柄位置不当、术中骨折、脱位、骨不连和感染。本文旨在避免这些并发症。

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引用本文的文献

1
Surgical expertise and hip osteotomies.手术专业技能与髋关节截骨术
Int Orthop. 2008 Dec;32(6):841. doi: 10.1007/s00264-008-0527-x. Epub 2008 Mar 11.