Turner R H, Scheller A D, Emerson R H
Hip. 1984:322-41.
The purpose of this paper was to describe the surgical techniques for removing and replacing failed femoral prosthetic components. We have also tried to develop a rationale for the use of long-stem femoral components to maximize femoral fixation and to protect the femur from future stresses. It is our recommendation that the revision femoral implant should be anchored into at least 100 mm of healthy bone distal to any previous metal, cement, perforation, or fracture. The surgical techniques described are demanding and require careful practice and preparation on the part of the surgical team. Distal intermedullary plugging and precise biphased cementing techniques are advocated to achieve microinterlock in the distal femur and to provide bulk filling of the proximal femur.
本文的目的是描述去除和更换失效股骨假体部件的手术技术。我们还试图为使用长柄股骨部件制定理论依据，以最大限度地实现股骨固定，并保护股骨免受未来应力的影响。我们建议，翻修股骨植入物应锚固到先前任何金属、骨水泥、穿孔或骨折部位远端至少100毫米的健康骨中。所描述的手术技术要求很高，需要手术团队进行仔细的练习和准备。提倡采用远端髓内堵塞和精确的双期骨水泥固定技术，以在股骨远端实现微嵌合，并为股骨近端提供大量填充。
