Yan Chun Hoi, Chiu Kwong Yuen, Ng Tsz Pui, Ng Fu Yuen
Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong.
J Orthop Surg (Hong Kong). 2010 Dec;18(3):303-8. doi: 10.1177/230949901001800309.
To report the radiological and clinical results of revision total hip arthroplasty (THA) with femoral impaction bone grafting (IBG).
4 men and 9 women (15 hips) aged 38 to 84 years underwent revision THA with femoral IBG using Elite plus stems for aseptic loosening or infection.
The mean follow-up duration was 7.7 years. The Harris hip score improved from 61.7 to 83.7. There was no pain in 11 hips and slight pain in 4. The mean subsidence was 5.7 mm. The mean change of alignment was 1.2 degrees. There was no radiological evidence of stem loosening. One stem was revised due to a peri-prosthetic fracture. Cortical healing was noted in 11 hips, and trabecular incorporation in 10.
Although intra- and post-operative complications were not uncommon, femoral IBG is a safe procedure in carefully selected patients and offers good medium-term results.
报告采用股骨打压植骨（IBG）进行全髋关节翻修术（THA）的放射学和临床结果。
4名男性和9名女性（共15髋），年龄38至84岁，因无菌性松动或感染，使用Elite plus股骨柄通过股骨IBG进行全髋关节翻修术。
平均随访时间为7.7年。Harris髋关节评分从61.7提高到83.7。11髋无疼痛，4髋有轻微疼痛。平均下沉为5.7毫米。对线平均变化为1.2度。无放射学证据表明股骨柄松动。1个股骨柄因假体周围骨折进行了翻修。11髋可见皮质骨愈合，10髋可见小梁骨融合。
尽管术中和术后并发症并不少见，但股骨IBG对于精心挑选的患者是一种安全的手术方法，并能提供良好的中期结果。
