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利用“假”髋臼进行人工关节置换治疗陈旧性先天性髋关节脱位:34例研究

Arthroprosthesis in old unreduced congenital dislocation of the hip, using the "false" acetabulum. A study of 34 cases.

作者信息

Giunti A, Vicenzi G, Toni A, Graci A, Ruggieri N, Olmi R

出版信息

Ital J Orthop Traumatol. 1984 Sep;10(3):285-93.

PMID:6519964
Abstract

In adult patients with considerable loss of function due to an unreduced congenital dislocation of the hip with a false acetabulum, the authors posed the question "Is it feasible, with a reasonable chance of success, to perform an arthroprosthesis in the "pathological" position, using the false acetabulum as a seating for the cup?" The aim of this study was to assess, in particular, the holding properties of the cup which has to be fitted after appropriate reaming, into this rather precarious false acetabulum. They define the indications for this procedure and describe their technique. The results of 34 operations, followed up for an average of 5 years, confirm the validity of this procedure.

摘要

对于因先天性髋关节脱位未复位且存在假髋臼而导致功能严重丧失的成年患者,作者提出了这样一个问题:“以合理的成功几率,在‘病理’位置使用假髋臼作为髋臼杯的安置处来进行关节置换术是否可行?”本研究的目的尤其在于评估,在适当扩孔后安装到这个相当不稳定的假髋臼中的髋臼杯的固定性能。他们明确了该手术的适应症并描述了手术技术。34例手术的结果,平均随访5年,证实了该手术的有效性。

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