Department of Orthopaedic Surgery, Hanyang University Seoul Hospital, Seoul, South Korea.
J Arthroplasty. 2009 Dec;24(8):1236-40. doi: 10.1016/j.arth.2009.05.032. Epub 2009 Jul 29.
We evaluated the clinical and radiological results of isolated acetabular revision hip arthroplasty. Forty-three hips underwent isolated acetabular revision with uncemented cup and were followed up for an average of 76 months. The monoblock femoral stems were used in 20 hips and modular femoral stems in 23 hips. The average Harris Hip Score improved to 87 at last follow-up from 57 preoperatively. All femoral stems maintained stable fixation with bone ingrowth and no subsidence at last follow-up. Five hips with the monoblock stem underwent rerevision due to loosening of cup with osteolysis. The isolated acetabular revision is encouraging, but in reflection of the results of the monoblock head, the visual inspection of the femoral head is not enough for evaluation of its surface status.
我们评估了单纯髋臼翻修髋关节置换术的临床和影像学结果。43 髋接受了单纯髋臼翻修，使用非骨水泥髋臼杯，平均随访 76 个月。20 髋使用一体式股骨柄，23 髋使用模块化股骨柄。末次随访时，平均 Harris 髋关节评分为 87 分，术前为 57 分。所有股骨柄均保持稳定固定，有骨长入且无下沉。5 髋因髋臼松动伴骨溶解而采用一体式头再次翻修。单纯髋臼翻修效果令人鼓舞，但鉴于一体式头的结果，仅通过肉眼观察股骨头不足以评估其表面状况。
