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冻干辐照及化学处理同种异体骨用于髋臼翻修术:17例患者至少5年随访结果

Acetabular revision with freeze-dried irradiated and chemically treated allograft: a minimum 5-year follow-up of 17 cases.

作者信息

Vargas Bernardo, Caton Jacques

机构信息

Hôpital Orthopédique de la Suisse Romande, Department of Orthopedic Surgery, 1005, Lausanne, Switzerland.

出版信息

Int Orthop. 2009 Feb;33(1):35-9. doi: 10.1007/s00264-007-0444-4. Epub 2007 Sep 9.

Abstract

We reviewed the results of 17 consecutive revision total hip arthroplasties performed with the use of freeze-dried irradiated bone allograft in 15 patients. These allografts were used in conjunction with five Kerboull rings, two steel meshes and ten cemented isolated cups. All the patients have had a follow-up of at least 5 years. The patients were evaluated clinically and radiographically. No revisions were necessary and X-rays confirmed partial or total ingrowth of the allografts. In acetabular revision surgery, hip reconstruction can be successfully treated by freeze-dried irradiated and chemically treated allografts. Additional studies with longer term follow-up are necessary to confirm this outcome.

摘要

我们回顾了15例患者连续进行的17例使用冻干辐照骨同种异体移植的全髋关节翻修术的结果。这些同种异体移植与5个Kerboull环、2个钢网和10个骨水泥固定的单独髋臼杯联合使用。所有患者均接受了至少5年的随访。对患者进行了临床和影像学评估。无需再次翻修,X线检查证实同种异体移植骨部分或完全长入。在髋臼翻修手术中,冻干辐照和化学处理的同种异体移植骨可成功用于髋关节重建。需要进行更长时间随访的进一步研究来证实这一结果。

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