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防止与锥形腐蚀相关的手术并发症。

Preventing Complications Associated With Operating on Taper Corrosion.

机构信息

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.

出版信息

J Arthroplasty. 2018 Sep;33(9):2720-2721. doi: 10.1016/j.arth.2018.05.033. Epub 2018 May 29.

Abstract

BACKGROUND

Revision total hip arthroplasty for the treatment of taper corrosion has become increasingly common. The purpose of this portion of the symposium was to describe the most common complications of this procedure and to delineate specific measures that might be taken to prevent these complications.

METHODS

A literature review was performed focusing on the results and complications of revision total hip arthroplasty performed for taper corrosion.

RESULTS

The most common modes of failure after revision total hip arthroplasty in the setting of taper corrosion include the 4 I's: infection, instability, implant loosening, and ions (recurrent adverse local tissue reaction).

CONCLUSION

Strategies specifically directed toward each of these 4 failure modes have the potential to significantly reduce the risk of complications.

摘要

背景

翻修全髋关节置换术治疗锥形腐蚀已变得越来越普遍。本次研讨会的目的是描述该手术最常见的并发症,并阐述可能采取的具体措施来预防这些并发症。

方法

我们进行了文献回顾,重点关注因锥形腐蚀而行翻修全髋关节置换术的结果和并发症。

结果

在锥形腐蚀的情况下,翻修全髋关节置换术后最常见的失效模式包括 4 个 I:感染、不稳定、植入物松动和离子(局部组织不良反应复发)。

结论

针对这 4 种失效模式中的每一种,专门制定的策略都有可能显著降低并发症的风险。

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