Kershaw C J, Atkins R M, Dodd C A, Bulstrode C J
Nuffield Orthopaedic Centre, Oxford, England.
J Bone Joint Surg Br. 1991 Jul;73(4):564-8. doi: 10.1302/0301-620X.73B4.2071636.
The results of 276 cemented revision total hip arthroplasties performed for aseptic failure between 1977 and 1986 have been reviewed. The mean time between revision and review was 75 months (range 30 to 144). Of 220 cases available for review, 159 were assessed clinically and radiographically, and 32 by postal questionnaire. Eighteen hips required further revision, 12 for loosening, two for sepsis, two for persistent pain, and one each for fracture and recurrent dislocation. A further six hips were radiologically and symptomatically loose. Pain was mild or absent in 83%. Over half were able to walk a mile or more; 70% flexed more than 70 degrees; 15% had a flexion deformity, but in only 7% was this more than 10 degrees. The mean Harris hip score was 74. Survival at five years was 95% and at 10 years, 77%.
对1977年至1986年间因无菌性失败而进行的276例骨水泥型全髋关节翻修术的结果进行了回顾。翻修与复查之间的平均时间为75个月（范围30至144个月）。在可供复查的220例病例中，159例进行了临床和影像学评估，32例通过邮寄问卷进行评估。18例髋关节需要进一步翻修，12例因松动，2例因感染，2例因持续疼痛，1例因骨折，1例因复发性脱位。另有6例髋关节在影像学和症状上有松动。83%的患者疼痛轻微或无疼痛。超过一半的患者能够行走一英里或更远；70%的患者屈曲超过70度；15%的患者有屈曲畸形，但只有7%的患者畸形超过10度。Harris髋关节平均评分为74分。五年生存率为95%，十年生存率为77%。
