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严重全髋关节置换失败后的大块同种异体骨移植。

Massive allografting for severe failed total hip replacement.

作者信息

McGann W, Mankin H J, Harris W H

出版信息

J Bone Joint Surg Am. 1986 Jan;68(1):4-12.

PMID:3510213
Abstract

We are presenting the cases of five patients that illustrate the uses of large, frozen bone and osteoarticular allografts in dealing with severe structural deficiency about the hip joint associated with prior failed total hip replacement. The status of the grafts was assessed at a minimum follow-up of twenty-four months (average, thirty months). In four patients extensive grafts in the proximal part of the femur in conjunction with total hip-replacement components were used, and in the fifth patient a matched whole-joint transplant of the proximal part of the femur and the acetabulum was employed. The short-term clinical advantage of these massive grafts is clear, but the long-term results are uncertain.

摘要

我们现介绍五例患者的病例,这些病例说明了大块冷冻骨和骨关节异体移植在处理既往全髋关节置换失败后髋关节严重结构缺损方面的应用。在至少随访24个月(平均30个月)时评估移植物的状况。四名患者使用了股骨近端的广泛移植物并结合全髋关节置换组件,第五名患者采用了匹配的股骨近端和髋臼全关节移植。这些大块移植物的短期临床优势是明显的,但长期结果尚不确定。

相似文献

1
Massive allografting for severe failed total hip replacement.严重全髋关节置换失败后的大块同种异体骨移植。
J Bone Joint Surg Am. 1986 Jan;68(1):4-12.
2
Custom-made segmental femoral replacement prosthesis in revision total hip arthroplasty.定制型股骨节段性置换假体在全髋关节翻修术中的应用
Orthop Clin North Am. 1993 Oct;24(4):727-33.
3
Proximal femoral allografts in revision total hip arthroplasty.翻修全髋关节置换术中的股骨近端异体骨移植
Clin Orthop Relat Res. 1987 Dec(225):22-36.
4
Femoral head autografting to augment acetabular deficiency in patients requiring total hip replacement. A minimum five-year and an average seven-year follow-up study.
J Bone Joint Surg Am. 1986 Oct;68(8):1241-8.
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[Acetabular convexity--a specific addition to total endoprosthetic hip replacement].[髋臼凸度——全髋关节置换术的一项特殊补充]
Z Orthop Ihre Grenzgeb. 1991 Mar-Apr;129(2):188-93. doi: 10.1055/s-2008-1040181.
6
Revision of failed total hip arthroplasties with uncemented porous-coated anatomic components.
Clin Orthop Relat Res. 1988 Oct(235):75-90.
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Superolateral bone grafting for acetabular deficiency in primary total hip replacement and revision.初次全髋关节置换及翻修术中髋臼缺损的上外侧植骨术
J Bone Joint Surg Br. 1994 Sep;76(5):728-34.
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9
[Femoral reconstruction with endosteal bone allografts protected by a metallic mesh in reoperation of total hip prosthesis. 19 cases with an average follow-up of 83 months].[金属网保护下的骨内膜同种异体骨移植用于全髋关节置换翻修术中的股骨重建。19例患者,平均随访83个月]
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2
Acetabular wall deficiency in primary and secondary total hip replacement.
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3
Structural allograft and cemented long-stem prosthesis for complex revision hip arthroplasty: use of a trochanteric claw plate improves final hip function.用于复杂髋关节翻修术的结构性同种异体骨和骨水泥固定长柄假体:使用转子爪形钢板可改善最终髋关节功能。
Int Orthop. 2007 Dec;31(6):851-7. doi: 10.1007/s00264-006-0275-8. Epub 2007 Feb 14.
4
Femoral head bone grafting for reconstruction of the acetabular wall in dysplastic hip replacement.股骨头植骨用于发育性髋关节置换术中髋臼壁的重建。
Arch Orthop Trauma Surg. 1995;114(5):269-73. doi: 10.1007/BF00452085.
5
Massive bone allografts in large skeletal defects after tumor surgery: a clinical and microradiographic evaluation.肿瘤手术后大的骨骼缺损中的大块骨移植:一项临床和显微放射学评估
Arch Orthop Trauma Surg (1978). 1988;107(1):31-41. doi: 10.1007/BF00463522.
6
[Reconstruction of large femoral defects in exchange operations following artificial hip replacement].[人工髋关节置换术后翻修手术中股骨大段骨缺损的重建]
Unfallchirurgie. 1989 Feb;15(1):14-23.
7
Bone transplantation.骨移植
Arch Orthop Trauma Surg. 1990;109(1):1-8. doi: 10.1007/BF00441902.