Rae P J, Hodgkinson J P, Meadows T H, Davies D R, Hargadon E J
Park Hospital, Davyhulme, Manchester, England.
J Bone Joint Surg Br. 1989 May;71(3):478-82. doi: 10.1302/0301-620X.71B3.2722944.
Between December 1982 and June 1986, 98 displaced subcapital femoral neck fractures were treated using the Charnley-Hastings bipolar hemiarthroplasty. Although the patients were elderly, often with associated medical problems, the operation was well tolerated and the mortality at one and six months was 14.4% and 24.5% respectively. Fifty-four hips were reviewed after an average follow-up of 33 months; 64.8% of patients had a good or excellent result. The fair or poor results were seen mainly in patients with poor pre-operative mobility and multiple medical problems. A significant cause of morbidity was dislocation (two interprosthetic) which occurred in six hips. There were two cases of deep sepsis but neither patient was fit for further surgery. There were no cases of acetabular erosion requiring revision surgery.
1982年12月至1986年6月期间，采用Charnley-Hastings双极半髋关节置换术治疗了98例移位型股骨颈头下骨折。尽管患者年龄较大，且常伴有其他内科问题，但手术耐受性良好，1个月和6个月时的死亡率分别为14.4%和24.5%。平均随访33个月后对54髋进行了评估；64.8%的患者结果为良好或优秀。结果一般或较差的情况主要见于术前活动能力差和有多种内科问题的患者。发病的一个重要原因是脱位（假体间脱位），6髋发生了这种情况。有2例深部感染，但两名患者均不适合进一步手术。没有发生需要翻修手术的髋臼磨损病例。
