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金属对金属髋关节表面置换术的修订:经验教训与改善的结果

Revisions of metal-on-metal hip resurfacing: lessons learned and improved outcome.

作者信息

De Smet Koen A, Van Der Straeten Catherine, Van Orsouw Maarten, Doubi Rachid, Backers Katrien, Grammatopoulos George

机构信息

Department of Orthopedic Surgery, ANCA Medical Center, Ghent, Belgium.

出版信息

Orthop Clin North Am. 2011 Apr;42(2):259-69, ix. doi: 10.1016/j.ocl.2011.01.003.

Abstract

This retrospective, consecutive case series of a single surgeon performed between 2001 and 2010 assesses the outcome following revision of metal-on-metal hip resurfacing arthroplasties (N = 113). Mean time to revision was 31 months (0-101) after primary hip resurfacing. Malpositioning of the components with associated wear-induced soft tissue fluid collections was the most frequent factor leading to failure of a hip resurfacing arthroplasty. The mid-term outcome of the revisions was satisfactory; complications occurred in 11 patients (9.7%). Six of these patients underwent a re-revision.

摘要

这是一项对2001年至2010年间由单一外科医生进行的回顾性连续病例系列研究,评估了金属对金属髋关节表面置换术翻修后的结果(N = 113)。初次髋关节表面置换术后至翻修的平均时间为31个月(0 - 101个月)。假体位置不良并伴有磨损导致的软组织积液是导致髋关节表面置换术失败的最常见因素。翻修的中期结果令人满意;11例患者(9.7%)出现并发症。其中6例患者进行了再次翻修。

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