Eskola A, Santavirta S, Konttinen Y T, Hoikka V, Tallroth K, Lindholm T S
Orthopaedic Hospital of the Invalid Foundation, Helsinki, Finland.
J Bone Joint Surg Br. 1990 Mar;72(2):212-6. doi: 10.1302/0301-620X.72B2.2312557.
In 16 patients we used uncemented Lord prostheses at revision operations for aggressive granulomatosis after cemented hip arthroplasties; in 12 bone grafts also were used. In 13 hips the granulomatous lesions were multifocal, and in one the acetabular component was involved. There was no evidence of infection in any case: all the patients had normal ESR and CRP levels. The revision operation was performed on average 9.4 years after the primary replacement; the mean age at revision was 64 years. On radiographs, the bone around the prosthesis had consolidated by an average of 16 months. At follow-up, two to six years later (mean 3.5 years) there had been no recurrences, nine patients had an excellent Mayo hip score, five were good and two fair.
我们对16例患者在骨水泥型髋关节置换术后因侵袭性肉芽肿进行翻修手术时使用了非骨水泥型Lord假体；其中12例还使用了骨移植。13例髋关节的肉芽肿性病变为多灶性，1例髋臼部件受累。所有病例均无感染证据：所有患者的血沉（ESR）和C反应蛋白（CRP）水平均正常。翻修手术平均在初次置换后9.4年进行；翻修时的平均年龄为64岁。X线片显示，假体周围的骨平均在16个月时已愈合。在术后两到六年（平均3.5年）的随访中，无复发情况，9例患者的梅奥髋关节评分优秀，5例良好，2例一般。
