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[髋关节表面置换术罕见并发症——脱位。病例报告与荟萃分析]

[Dislocation as a rare complication of resurfacing of the hip joint. Case report and meta-analysis].

作者信息

Lieske S, John M, Rimasch C, Mahlfeld K

机构信息

Orthopädische Universitätsklinik, Otto-von-Guericke-Universität, Leipziger Strasse 44, 39120 Magdeburg.

出版信息

Unfallchirurg. 2008 Aug;111(8):637-40. doi: 10.1007/s00113-007-1365-9.

Abstract

Resurfacing of the hip joint experienced a revival in the 1990s. Today metal-on-metal bearing is a therapy option especially for younger, active patients. In comparison to stemmed total hip replacements resurfacing offers advantages, in particular in view of the femoral bone loss. The short-term results are very good. In the current literature revision rates of less than 1% are reported. In comparison to conventional total hip replacement, dislocation is a rare complication. With conventional total hip replacement the dislocation rate is 2-5%. In the international literature the dislocation rate with resurfacing is 0.21%.

摘要

髋关节表面置换术在20世纪90年代得以复兴。如今,金属对金属关节面置换是一种治疗选择,尤其适用于年轻、活跃的患者。与带柄全髋关节置换相比,表面置换具有优势,特别是在股骨骨质流失方面。短期效果非常好。在当前文献中,报道的翻修率低于1%。与传统全髋关节置换相比,脱位是一种罕见的并发症。传统全髋关节置换的脱位率为2%-5%。在国际文献中,表面置换的脱位率为0.21%。

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