Schmidutz Florian, Wanke-Jellinek Lorenz, Jansson Volkmar, Fottner Andreas, Mazoochian Farhad
Department of Orthopedic Surgery, University of Munich (LMU), Campus Grosshadern, Marchioninistraße 15, Munich, 81377, Germany.
J Med Case Rep. 2012 Aug 20;6:249. doi: 10.1186/1752-1947-6-249.
Suitable treatment of early failure of total hip replacement is critical in younger patients, as bone stock is lost and the functional outcome is impaired.
We report the case of a 56-year-old Caucasian woman with early failure of hip resurfacing arthroplasty. While revision is usually performed with a conventional hip implant, this case report describes for the first time a revision procedure with a bone-conserving short-stem hip implant.
Our approach allows further conservation of femoral bone stock and provides a long-term solution to the patient, which maintains the possibility of using a conventional hip implant should a second revision become necessary.
对于年轻患者而言，全髋关节置换早期失败的恰当治疗至关重要，因为骨量会流失且功能预后会受损。
我们报告一例56岁白种女性髋关节表面置换术早期失败的病例。虽然翻修通常采用传统髋关节植入物进行，但本病例报告首次描述了使用保留骨量的短柄髋关节植入物进行翻修手术的过程。
我们的方法能够进一步保留股骨骨量，并为患者提供长期解决方案，即如果有必要进行二次翻修，仍保留使用传统髋关节植入物的可能性。
