Sharvill Rory J, Ferran Nicholas A, Jones Huw G, Jones Stephen A
Department of Trauma and Orthopaedics, University Hospital of Wales, Cardiff, United Kingdom.
Acta Orthop Belg. 2009 Jun;75(3):340-5.
A retrospective review was made of radiographs and case notes of patients with failed fixation of extracapsular proximal femoral fractures subsequently managed with long-stem revision arthroplasty. Follow-up radiographs, objective scoring, mobility, and complications were assessed. Twenty five hips were managed with long-stem hip arthroplasty in 24 patients with a mean age of 73 years. The mean follow-up was 24 months. Patients received uncemented acetabular components and long-stem uncemented femoral implants. Complications included two intraoperative femoral fractures which were strut-grafted, three wound infections (one required washout), and one recurrent dislocation managed conservatively. Average postoperative Oxford Hip score was 29. We report a low complication rate and no specific implant related problems, with good functional outcome as evidenced by the outcome scores and mobility status following salvage arthroplasty.
对采用长柄翻修关节成形术治疗的股骨近端囊外骨折内固定失败患者的X线片和病例记录进行了回顾性研究。评估了随访X线片、客观评分、活动度和并发症情况。24例平均年龄73岁的患者共25髋接受了长柄髋关节置换术。平均随访时间为24个月。患者接受了非骨水泥髋臼组件和长柄非骨水泥股骨假体。并发症包括2例术中股骨骨折，采用支撑植骨治疗；3例伤口感染（1例需要冲洗），1例复发性脱位采用保守治疗。术后牛津髋关节平均评分为29分。我们报告的并发症发生率较低，没有与植入物相关的特定问题，挽救性关节置换术后的结果评分和活动度状况证明功能结果良好。
