Picault C, Michel C R, Vidil R
Rev Chir Orthop Reparatrice Appar Mot. 1980 Mar;66(2):57-67.
4 300 Charnley total hip replacements have been performed since 1968 using either a lateral or a posterior approach. The operative and post operative complications are analysed. 10 p. 100 of the cases had venous complications. There were 125 early dislocations which were easily reduced, and 38 dislocations occurring 6 to 8 years after the operation which were reduced under general anesthesia. There were 5 fractures of the stem of the femoral prosthesis. Instances of wear of the acetabular component were rare. 1.5 p. 100 of severe sepsis occurred leading to the need for the removal of the prosthesis in 23 cases. The percentage of septic complications was much higher in hip that had previously been operated on (5 p. 100) compared with when there had been no previous operation (1. p. 100). Functional results were rated excellent in 85 p 100, good and failure in 2 p. 100. In their conclusions, the authors state that the assessment of the results is difficult because of the age of the patients, the variability in methods of assessment and the presence of associated diseases. They emphasize that the results were consistent even after long periods of time and that wear in the prosthesis is not a hazard, any particles being produced by wear being well tolerated.
自1968年以来，采用外侧或后侧入路共进行了4300例Charnley全髋关节置换术。对手术及术后并发症进行了分析。10%的病例出现静脉并发症。有125例早期脱位，很容易复位，38例在术后6至8年出现脱位，在全身麻醉下复位。有5例股骨假体柄骨折。髋臼部件磨损的情况很少见。1.5%的病例发生严重脓毒症，导致23例需要取出假体。与未进行过手术的髋关节（1%）相比，先前接受过手术的髋关节发生感染并发症的百分比要高得多（5%）。85%的功能结果评定为优秀，2%为良好及失败。作者在结论中指出，由于患者年龄、评估方法的差异以及合并疾病的存在，结果评估很困难。他们强调，即使经过很长时间，结果仍然是一致的，假体磨损不是一种危害，磨损产生的任何颗粒都能被很好地耐受。
