Pazzaglia U E, Ghisellini F, Ceffa R, Riccardi C, Ceciliani L
Clinica Ortopedica e Traumatologica, Universita' di Pavia, Italy.
Orthopedics. 1988 Aug;11(8):1141-5. doi: 10.3928/0147-7447-19880801-05.
Results of reimplanted total hip prostheses and resection arthroplasty were compared. Using the Iowa hip rating scale, the reimplanted prostheses population was rated higher for function, gait, and absence of deformity, however, the resection arthroplasty population rated better in freedom from pain. Radiographic findings in the reimplanted prostheses population included radiolucent lines around the cement, loosening, and cortex bone stock loss. These findings cause concern for the future of these implants. Repair and remodeling of the bone lesions were observed in resection arthroplasties. It was concluded that if healing of infection is achieved or if resection is performed for mechanical failure, the results may be considered permanent.
对再植入全髋关节假体和切除关节成形术的结果进行了比较。采用爱荷华髋关节评分量表，再植入假体组在功能、步态和无畸形方面评分更高，然而，切除关节成形术组在疼痛缓解方面评分更高。再植入假体组的影像学表现包括骨水泥周围的透亮线、松动和皮质骨量丢失。这些发现引发了对这些植入物未来的担忧。在切除关节成形术中观察到骨病变的修复和重塑。得出的结论是，如果感染得以治愈或因机械故障进行切除，结果可能被视为永久性的。
