University of British Columbia, The University of British Columbia, Department of Orthopaedics, 3rd Floor, 910 West 10th Avenue, Vancouver, BC, V5Z 4E3, Canada.
Bone Joint J. 2013 Nov;95-B(11 Suppl A):114-9. doi: 10.1302/0301-620X.95B11.32908.
Hip arthrodesis remains a viable surgical technique in well selected patients, typically the young manual labourer with isolated unilateral hip disease. Despite this, its popularity with patients and surgeons has decreased due to the evolution of hip replacement, and is seldom chosen by young adult patients today. The surgeon is more likely to encounter a patient who requests conversion to total hip replacement (THR). The most common indications are a painful pseudarthrosis, back pain, ipsilateral knee pain or contralateral hip pain. Occasionally the patient will request conversion because of difficulty with activities of daily living, body image and perceived cosmesis. The technique of conversion and a discussion of the results are presented.
髋关节融合术在经过精心选择的患者中仍然是一种可行的手术技术，这些患者通常是年轻的体力劳动者，单侧髋关节疾病。尽管如此，由于髋关节置换术的发展，其在患者和外科医生中的受欢迎程度已经下降，如今很少有年轻成年患者选择这种手术。外科医生更有可能遇到要求转换为全髋关节置换术（THR）的患者。最常见的适应症是疼痛性假关节、背痛、同侧膝关节疼痛或对侧髋关节疼痛。偶尔，患者会因为日常生活活动困难、身体形象和感知美容问题而要求转换。本文介绍了转换的技术和对结果的讨论。
