Kim Y H
Texas Tech University Health Sciences Center, Department of Orthopaedic Surgery, Lubbock 79430.
J Bone Joint Surg Br. 1991 Sep;73(5):783-6. doi: 10.1302/0301-620X.73B5.1894666.
Total hip arthroplasty was performed in 45 hips of 44 patients who had pyogenic arthritis of the hip during childhood. The average age of the patients was 36.4 years (range 19 to 50). The interval between active infection and arthroplasty ranged from 11 to 40 years, and average follow-up was 65.4 months (range 58 to 80). Specimens of tissue taken before and during operation gave negative cultures in all hips, and no patient had reactivation of infection. The mean functional rating of the hips was 58 points before operation and 90 at the final review. Complications were seen in 11 cases (24%), loosening of components occurred in six (13%) and one hip had to be revised for acetabular component migration. Acetabular allografts were required in 27 hips (60%). All allografts united but there was partial resorption of the graft in the non-weight-bearing area in all.
对44例儿童期患化脓性髋关节炎的患者的45个髋关节进行了全髋关节置换术。患者的平均年龄为36.4岁（范围19至50岁）。活动性感染与关节置换术之间的间隔时间为11至40年，平均随访时间为65.4个月（范围58至80个月）。术前和术中采集的组织标本在所有髋关节中培养均为阴性，且无患者感染复发。髋关节术前的平均功能评分为58分，末次复查时为90分。11例（24%）出现并发症，6例（13%）出现假体松动，1例髋关节因髋臼假体移位而需翻修。27个髋关节（60%）需要髋臼异体骨移植。所有异体骨均愈合，但所有异体骨在非负重区均有部分吸收。
