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全髋关节翻修术的长期结果。随访报告。

Long-term results of revision total hip replacement. A follow-up report.

作者信息

Pellicci P M, Wilson P D, Sledge C B, Salvati E A, Ranawat C S, Poss R, Callaghan J J

出版信息

J Bone Joint Surg Am. 1985 Apr;67(4):513-6.

PMID:3980494
Abstract

The results of 110 revision total hip replacements performed for aseptic failure, with an average follow-up of 3.4 years, were reported in 1982. We were able to continue to follow ninety-nine of these patients for an average of 8.1 years (range, five to 12.5 years). With this longer follow-up, we found that twenty-nine (29 per cent) of these revised arthroplasties have since failed. Most of the failures after 1982 occurred in the hips that were known to have a progressive radiolucency at the time of the first evaluation. We concluded that there is an increased failure rate with longer follow-up of revision total hip replacement, and that progressive radiolucency at an interface indicates a poor prognosis for the arthroplasty.

摘要

1982年报告了110例因无菌性失败而进行的全髋关节翻修置换手术的结果,平均随访时间为3.4年。我们能够继续对其中99例患者进行平均8.1年的随访(范围为5至12.5年)。随着随访时间的延长,我们发现这些翻修关节成形术中的29例(29%)后来出现了失败。1982年以后的大多数失败发生在首次评估时已知有进行性透亮线的髋关节。我们得出结论,全髋关节翻修置换术后随访时间延长会导致失败率增加,并且界面处的进行性透亮线表明关节成形术的预后不良。

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