Reigstad A, Hetland K R
Arch Orthop Trauma Surg (1978). 1984;103(3):152-5. doi: 10.1007/BF00435545.
Revision of 19 Müller total hip prostheses and 9 ICLH double-cup prostheses is compared. In the Müller group the mean operation time was 186 min, the amount of blood transfused 3526 ml, and the hospital stay 34.9 days. The corresponding figures for the ICLH group were 94 min, 1389 ml, and 25.7 days. Revision of the conventional hip prostheses involved technical difficulties and complications such as femoral fractures and postoperative dislocations, which were not seen in the ICLH group, in which the revision was as easy to perform as the primary operation. The clinical result 6 months after revision was significantly better in the ICLH group. Thus, the double-cup prosthesis provides another possibility for revision. However, a relatively high incidence of early loosening indicates that it should not be used in older patients in whom one would expect a follow-up shorter than the lifetime of a conventional hip prosthesis.
对19例 Müller 全髋关节假体和9例 ICLH 双杯假体的翻修情况进行了比较。在 Müller 组中，平均手术时间为186分钟，输血量为3526毫升，住院时间为34.9天。ICLH 组的相应数据分别为94分钟、1389毫升和25.7天。传统髋关节假体的翻修涉及技术难题和并发症，如股骨骨折和术后脱位，而 ICLH 组未出现这些情况，该组的翻修操作与初次手术一样容易。翻修术后6个月，ICLH 组的临床效果明显更好。因此，双杯假体为翻修提供了另一种选择。然而，早期松动的发生率相对较高，这表明它不应用于预期随访时间短于传统髋关节假体使用寿命的老年患者。
