Korim Muhammad T, Esler Colin N A, Ashford Robert U
Leicester Orthopaedics, University Hospitals of Leicester NHS Trust, Leicester, UK.
Leicester Orthopaedics, University Hospitals of Leicester NHS Trust, Leicester, UK; Academic Orthopaedics, Trauma & Sports Medicine, University of Nottingham, Nottingham, UK.
J Arthroplasty. 2014 Nov;29(11):2117-21. doi: 10.1016/j.arth.2014.06.012. Epub 2014 Jun 21.
Proximal femoral arthroplasty (PFA) is an established treatment modality following oncological resection. Increasingly, these prostheses are being used for non-neoplastic conditions such as fractures and bone loss associated with septic or aseptic loosening. We performed a systematic review of the literature to determine the failure rates, mortality rates and hip outcome scores when PFAs were used in non-neoplastic conditions. There were 14 studies with an average follow-up of 3.8 years (range 0-14 years) describing 356 PFAs. Re-operation for any reason occurred in 23.8% (85/356) of cases. The most common complications were dislocation (15.7%) and infection (7.6%). The mortality rate ranged from 0% to 40%. PFA provides an acceptable surgical solution when confronted with massive bone loss, but it has a high re-operation rate for dislocation and infection.
股骨近端关节成形术（PFA）是肿瘤切除术后一种既定的治疗方式。越来越多地，这些假体被用于非肿瘤性疾病，如与感染性或无菌性松动相关的骨折和骨质流失。我们对文献进行了系统回顾，以确定PFA用于非肿瘤性疾病时的失败率、死亡率和髋关节结局评分。有14项研究，平均随访3.8年（范围0至14年），描述了356例PFA。23.8%（85/356）的病例因任何原因进行了再次手术。最常见的并发症是脱位（15.7%）和感染（7.6%）。死亡率范围为0%至40%。当面对大量骨质流失时，PFA提供了一种可接受的手术解决方案，但它因脱位和感染而有较高的再次手术率。
