[带长柄股骨部件的骨水泥型髋关节翻修术]

[Cement-in-cement hip revision with a long-stemmed femoral component].

作者信息

Lichtinger T K, Pingsmann A, Erol N, Schulze-Pellengahr C, Teske W

机构信息

Universitätsklinik für Orthopädie und Unfallchirurgie, St. Josef-Hospital, Ruhr-Universität, Bochum, Deutschland.

出版信息

Orthopade. 2009 Dec;38(12):1241-4. doi: 10.1007/s00132-009-1470-2.

DOI:10.1007/s00132-009-1470-2

PMID:19639298

Abstract

Revision hip surgery often requires individualized techniques and implants. We report on a case of failed femoral revision in an extensively cemented femur with a concomitant proximal and dorsal femoral bone defect. We advocate the clinically effective revision procedure of antegrade drilling of the stable cement mantle and use of a cemented long-stemmed femoral component. This cement-in-cement revision technique is discussed along with the pertinent literature.

摘要

髋关节翻修手术通常需要个性化的技术和植入物。我们报告了一例在广泛骨水泥固定的股骨中股骨翻修失败的病例，伴有股骨近端和背侧骨缺损。我们提倡对稳定的骨水泥壳进行顺行钻孔并使用骨水泥固定的长柄股骨假体这一临床有效的翻修手术方法。本文结合相关文献对这种骨水泥-骨水泥翻修技术进行了讨论。