使用非骨水泥型柄进行一期翻修关节成形术治疗感染性髋关节置换术。
One-stage revision arthroplasty using cementless stem for infected hip arthroplasties.
作者信息
Bori Guillem, Muñoz-Mahamud Ernesto, Cuñé Jordi, Gallart Xavier, Fuster David, Soriano Alejandro
机构信息
Department of Orthopaedic and Trauma Surgery, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain; Bone and Joint Infectious Diseases Unit. Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain.
Department of Orthopaedic and Trauma Surgery, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain; Bone and Joint Infectious Diseases Unit. Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain.
出版信息
J Arthroplasty. 2014 May;29(5):1076-81. doi: 10.1016/j.arth.2013.11.005. Epub 2013 Nov 12.
The objective of this retrospective study was to evaluate our results with one-stage revision using cementless femoral stem for infected hip arthroplasties. Twenty-four patients were included in the study. The acetabular component was cemented in 9 cases. In 2 patients a structured bone allograft was necessary to fill an acetabular defect. After a mean follow-up of 44.6 months, 23 patients showed no signs of infection (95.8%), the mean functional response according to the Merle d'Aubigné scale was 13.8 and the mean Harris Hip Score was 65.4. One-stage revision hip arthroplasty using cementless femoral stem was associated with a high success rate.
这项回顾性研究的目的是评估我们使用非骨水泥型股骨柄对感染性髋关节置换术进行一期翻修的结果。该研究纳入了24例患者。9例患者的髋臼假体采用骨水泥固定。2例患者需要使用结构性骨移植来填充髋臼缺损。平均随访44.6个月后，23例患者无感染迹象（95.8%），根据Merle d'Aubigné评分标准，平均功能反应评分为13.8，Harris髋关节评分平均为65.4。使用非骨水泥型股骨柄进行一期翻修髋关节置换术的成功率很高。
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