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[一例患者髋关节翻修术后的不稳定及其他局部并发症——病例报告]

[Instability and other local complications after revision hip replacement in one patient--a case report].

作者信息

Pepłoński Artur, Płomiński Janusz

出版信息

Pol Merkur Lekarski. 2014 Jan;36(211):31-3.

Abstract

Arthroplasty of the hip is now considered as a safe procedure. The most frequent complications include such terms as pulmonary embolism, myocardial infarction and thrombosis locally at the lower extremities, wound infection, loosening of the implant, periprosthetic fracture, dislocation of the prosthesis or sciatic nerve injury. The work is described for patient operated at the Department of Orthopaedics WIM, in which within 3 years from revision surgery made of loosening of the implants there were multiple complications, including multiple prosthetic dislocations, periprosthetic fracture, nonunion and damage of the stabilizing plate. During this period, the present 73-year old woman were seven treatments, including three closed repositions dislocated prosthesis. Treatment was discontinued in February 2012 stating union at the pseudarthrosis.

摘要

髋关节置换术目前被认为是一种安全的手术。最常见的并发症包括肺栓塞、心肌梗死以及下肢局部血栓形成、伤口感染、植入物松动、假体周围骨折、假体脱位或坐骨神经损伤等。本文描述了在WIM骨科接受手术的患者情况,在因植入物松动进行翻修手术后的3年内出现了多种并发症,包括多次假体脱位、假体周围骨折、骨不连以及稳定钢板损坏。在此期间,这位73岁的女性接受了7次治疗,包括3次脱位假体的闭合复位。2012年2月,由于假关节处骨愈合,治疗停止。

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