J Am Acad Orthop Surg. 2013 Oct;21(10):601-12. doi: 10.5435/JAAOS-21-10-601.
Primary total hip arthroplasty (THA) is one of the most effective procedures for managing end-stage hip arthritis. The burden of revision THA procedures is expected to increase along with the rise in number of primary THAs. The major indications for revision THA include instability, aseptic loosening, infection, osteolysis, wear-related complications, periprosthetic fracture, component malposition, and catastrophic implant fracture. Each of these conditions may be associated with mild or advanced bone loss. Careful patient evaluation and bone loss classification guide preoperative planning and overall patient care. Historically, uncemented fixation has provided the best results, but cemented fixation is required in some cases.
初次全髋关节置换术（THA）是治疗晚期髋关节关节炎最有效的方法之一。随着初次 THA 数量的增加，翻修 THA 手术的负担预计将增加。翻修 THA 的主要指征包括不稳定、无菌性松动、感染、骨溶解、与磨损相关的并发症、假体周围骨折、假体位置不当和灾难性假体骨折。这些情况中的每一种都可能与轻度或严重的骨质流失有关。仔细的患者评估和骨质流失分类指导术前计划和整体患者护理。从历史上看，非骨水泥固定提供了最佳效果，但在某些情况下需要使用骨水泥固定。
