Sandiford Nemandra A, Muirhead-Allwood Sarah K, Skinner John A
The London Hip Unit, 4thFloor, 30 Devonshire Street, London, UK, W1G 6PU.
J Orthop Surg Res. 2010 Nov 29;5:88. doi: 10.1186/1749-799X-5-88.
We reviewed the results of 25 consecutive patients who underwent revision of a hip resurfacing prosthesis to a total hip replacement. Revisions were performed for recurrent pain and effusion, infection and proximal femoral fractures. Both components were revised in 20 cases.There were 12 male and 13 female patients with average time to revision of 34.4 and 26.4 months respectively. The mean follow up period was 12.7 months (3 to 31). All patients reported relief of pain and excellent satisfaction scores. Two patients experienced stiffness up to three months post operatively.Pre operative Oxford, Harris and WOMAC hip scores were 39.1, 36.4 and 52.2 respectively. Mean post operative scores at last follow up were 17.4, 89.8 and 6.1 respectively (p < 0.001 for each score). These results show that conversion of hip resurfacing to total hip arthroplasty has high satisfaction rates. These results compare favourably with those for revision total hip arthroplasty.
我们回顾了连续25例接受髋关节表面置换假体翻修为全髋关节置换术患者的结果。翻修原因包括复发性疼痛和积液、感染以及股骨近端骨折。20例患者的两个组件均进行了翻修。有12例男性和13例女性患者，翻修的平均时间分别为34.4个月和26.4个月。平均随访期为12.7个月（3至31个月）。所有患者均报告疼痛缓解且满意度评分优异。两名患者术后三个月出现关节僵硬。术前牛津、哈里斯和WOMAC髋关节评分分别为39.1、36.4和52.2。最后一次随访时的平均术后评分分别为17.4、89.8和6.1（每项评分p<0.001）。这些结果表明，髋关节表面置换翻修为全髋关节置换术具有较高的满意率。这些结果与翻修全髋关节置换术的结果相比更具优势。
