Rogers B A, Sternheim A, Backstein D, Safir O, Gross A E
Department of Orthopaedic Surgery, Mount Sinai Hospital, Toronto, ON, Canada M5G 1X5.
Adv Orthop. 2011;2011:257572. doi: 10.4061/2011/257572. Epub 2011 Oct 13.
As the indications for total hip arthroplasty increase, the prevalence of extensive proximal femoral bone loss will increase as a consequence of massive osteolysis, stress shielding and multiple revisions. Proximal femoral bone stock deficiency provides a major challenge for revision hip arthroplasty and is likely to account for a significant future caseload. Various surgical techniques have been advocated included impaction allografting, distal press-fit fixation and massive endoprosthetic reconstruction. This review article provides a systematic review of the current literature to assess the outcome of revision hip arthroplasty using allograft to reconstruction massive proximal femoral bone loss.
随着全髋关节置换术适应症的增加，由于大量骨质溶解、应力遮挡和多次翻修，股骨近端广泛骨丢失的患病率将会上升。股骨近端骨量不足给髋关节翻修手术带来了重大挑战，并且很可能导致未来大量的病例。已经有人提倡了各种手术技术，包括嵌压式同种异体骨移植、远端压配固定和大型假体置换重建。这篇综述文章对当前文献进行了系统综述，以评估使用同种异体骨重建股骨近端大量骨丢失的髋关节翻修手术的结果。
