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THA revisions using impaction allografting with mesh is durable for medial but not lateral acetabular defects.使用带网塞骨移植术进行全髋关节翻修术对髋臼内侧缺损有效，但对髋臼外侧缺损效果不佳。
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Mid-term results of acetabular reconstruction using a Kerboull-type acetabular reinforcement device.使用 Kerboull 型髋臼加强装置进行髋臼重建的中期结果。
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本文引用的文献

1
Acetabular revision with freeze-dried irradiated and chemically treated allograft: a minimum 5-year follow-up of 17 cases.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
Int Orthop. 2009 Feb;33(1):35-9. doi: 10.1007/s00264-007-0444-4. Epub 2007 Sep 9.
2
Frozen sections of samples taken intraoperatively for diagnosis of infection in revision hip surgery.髋关节翻修手术中用于感染诊断的术中采集样本的冰冻切片。
Acta Orthop. 2007 Apr;78(2):226-30. doi: 10.1080/17453670710013726.
3
Impaction bone grafting for revision hip arthroplasty: biology and clinical applications.髋关节翻修术的打压植骨：生物学与临床应用
J Am Acad Orthop Surg. 2006 Oct;14(11):620-8. doi: 10.5435/00124635-200610000-00004.
4
Acetabular reconstruction with impacted bone allografts and cemented acetabular components: a 2- to 13-year follow-up study of 142 aseptic revisions.采用打压植骨同种异体骨和骨水泥固定髋臼组件进行髋臼翻修：142例无菌性翻修的2至13年随访研究
J Bone Joint Surg Br. 2006 Jul;88(7):865-9. doi: 10.1302/0301-620X.88B7.17227.
5
Acetabular reconstruction with impaction bone-grafting and a cemented cup in patients younger than fifty years old.50岁以下患者采用打压植骨和骨水泥杯进行髋臼重建。
J Bone Joint Surg Am. 2004 Nov;86(11):2385-92. doi: 10.2106/00004623-200411000-00004.
6
Impaction bone-grafting in revision joint replacement surgery.翻修关节置换手术中的嵌压植骨术
J Bone Joint Surg Am. 2004 Sep;86(9):2050-60. doi: 10.2106/00004623-200409000-00028.
7
Acetabular revision with impacted morsellised cancellous bone grafting and a cemented cup. A 15- to 20-year follow-up.采用打压植骨松质骨移植和骨水泥臼杯进行髋臼翻修术。15至20年随访。
J Bone Joint Surg Br. 2004 May;86(4):492-7.
8
Cementless acetabular reconstruction in revision total hip arthroplasty.翻修全髋关节置换术中的非骨水泥髋臼重建
Clin Orthop Relat Res. 2004 Mar(420):96-100. doi: 10.1097/00003086-200403000-00013.
9
Particle size of bone graft and method of impaction affect initial stability of cemented cups: human cadaveric and synthetic pelvic specimen studies.骨移植颗粒大小和打压方法影响骨水泥杯的初始稳定性：人体尸体和合成骨盆标本研究。
Acta Orthop Scand. 2003 Dec;74(6):652-7. doi: 10.1080/00016470310018144.
10
Functional results of hip arthroplasty with acrylic prosthesis.丙烯酸假体髋关节置换术的功能结果。
J Bone Joint Surg Am. 1954 Jun;36-A(3):451-75.

55岁以下患者采用嵌压式同种异体骨移植和骨水泥臼杯进行髋臼翻修手术。

Acetabular revision surgery with impacted bone allografts and cemented cups in patients younger than 55 years.

作者信息

Comba Fernando, Buttaro Martín, Pusso Rodolfo, Piccaluga Francisco

机构信息

Institute of Orthopaedics Carlos E. Ottolenghi, Italian Hospital, Buenos Aires, Argentina.

出版信息

Int Orthop. 2009 Jun;33(3):611-6. doi: 10.1007/s00264-007-0503-x. Epub 2008 Feb 9.

DOI:10.1007/s00264-007-0503-x
PMID:18264707
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2903100/
Abstract

This article summarises a clinical and radiographical analysis of 30 acetabular revisions in patients younger than 55 years old, performed with impaction bone grafting and cemented cups. Preoperative Merle D'Aubigne and Postel functional score was an average 7 points. At a mean follow-up of 86.5 months (range 34-228) functional score averaged 16.3 points. Radiolucent lines with no clinical impact were observed in 7% of DeLee and Charnley acetabular zones evaluated. Massive radiological migration, consistent with clinical failure, was observed in two cups. Three patients underwent re-revision surgery (10%): two due to infection and one due to mechanical failure. Reconstruction survival rate was 89% (CI 95% 71.9-96.4) overall, and 96% (CI 95% 82.6-99.3) ruling out cases of infection. Impacted bone allograft constitutes one of the reconstructive techniques of choice in acetabular revision surgery of young patients. Restoration of bone stock is essential in this group of patients due to the possibility of future revisions.

摘要

本文总结了对55岁以下患者进行的30例髋臼翻修术的临床和影像学分析，这些手术采用了打压植骨和骨水泥杯。术前Merle D'Aubigne和Postel功能评分平均为7分。平均随访86.5个月（范围34 - 228个月）时，功能评分平均为16.3分。在评估的DeLee和Charnley髋臼区域中，7%观察到无临床影响的透亮线。在两个髋臼杯中观察到与临床失败一致的大量影像学移位。3例患者接受了再次翻修手术（10%）：2例因感染，1例因机械故障。总体重建生存率为89%（95%置信区间71.9 - 96.4），排除感染病例后为96%（95%置信区间82.6 - 99.3）。打压异体骨移植是年轻患者髋臼翻修手术中首选的重建技术之一。由于未来可能需要再次翻修，恢复骨量在这类患者中至关重要。