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[双杯置换术治疗髋关节结核。长期随访研究]

[Double-cup replacement in the treatment of tuberculosis of the hip. Long-term follow-up studies].

作者信息

Ma J K

出版信息

Zhonghua Wai Ke Za Zhi. 1989 Jun;27(6):328-30, 380.

PMID:2582931
Abstract

24 tuberculous hip joints were treated by radical debridement and double-cup replacement in one single stage. They healed up primarily and remained well up to the time of follow-up, a period of 5 years and 7 months on average, except one which recurred 1 month after operation and persisted until removal of the implants. Slipping of head cup occurred in 4 cases in 10 to 12 months post-operatively. The slipped cups were removed or received, showing fibrous drinking of the head stump. Factors influencing and the time taking place of slipping of head cup along with it management were discussed and described. It is shown that radical debridement and double-cup replacement could serve to cure the tuberculosis and preserve the function of the hip joint.

摘要

24例结核性髋关节采用一期彻底清创及双杯置换术治疗。除1例术后1个月复发,植入物取出前病情持续存在外,其余均一期愈合,至随访时情况良好,平均随访时间为5年7个月。术后10至12个月有4例发生头杯滑脱。滑脱的杯状物被取出或复位,显示头残端有纤维性粘连。讨论并描述了影响头杯滑脱发生的因素、发生时间及其处理方法。结果表明,彻底清创及双杯置换术可治愈结核并保留髋关节功能。

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