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[翻修全髋关节置换术中髋臼缺损的分类与重建]

[Classification and reconstruction of acetabular defects in revision total hip arthroplasty].

作者信息

Kang Zhi-Wei, Zhang Yao-Hui, Yang Zi-Quan

机构信息

Department of Orthopaedics, the Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China.

Department of Orthopaedics, the Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China;

出版信息

Zhongguo Gu Shang. 2018 Sep 25;31(9):874-879. doi: 10.3969/j.issn.1003-0034.2018.09.019.

Abstract

As a mature technology gradually, the total hip arthroplasty has been known and conducted by more and more orthopedic surgeons. However, it also increased the number of hip revisions. The reasons for revision of hip mainly include: unstable, infection, aseptic loosening prosthesis, prosthesis peripheral fracture, liner wear and so on, and the acetabulum bone defect and the choice of acetabular prosthesis have been perplexing surgeons. In this paper, we summarise classification and reconstruction of acetabulum bone defect in hip revision oprations, compare the advantages and disadvantages of all kinds of classification, on this basis can have more than one bone grafting mode and the choice of the acetabulum prosthesis for reconstruction of acetabulum, then expound the ways of material sources, bone grafting modes and complex acetabulum bone defect reconstruction as well as the choice of the ways of fixed prosthesis, providing the basis for clinical doctors to deal with all kinds of acetabulum bone defect and the choice of the acetabulum prosthesis, guiding patient specific therapy more precisely.

摘要

作为一项逐渐成熟的技术,全髋关节置换术已为越来越多的骨科医生所熟知并开展。然而,这也增加了髋关节翻修的数量。髋关节翻修的主要原因包括:不稳定、感染、假体无菌性松动、假体周围骨折、内衬磨损等,而髋臼骨缺损及髋臼假体的选择一直困扰着外科医生。本文总结了髋关节翻修手术中髋臼骨缺损的分类及重建方法,比较了各种分类方法的优缺点,在此基础上可有多种植骨方式及髋臼假体用于髋臼重建的选择,进而阐述了植骨材料来源、植骨方式及复杂髋臼骨缺损重建方法以及假体固定方式的选择,为临床医生处理各种髋臼骨缺损及髋臼假体的选择提供依据,更精准地指导个体化治疗。

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