Pellicci P M, Wilson P D, Sledge C B, Salvati E A, Ranawat C S, Poss R
Clin Orthop Relat Res. 1982 Oct(170):34-41.
In this review, 110 hips in 107 patients underwent revision total hip arthroplasty at The Hospital for Special Surgery and the Robert B. Brigham Hospital. The minimum follow-up period was two years (average, 3.4 years). Failures of the original total hip arthroplasties were due to loosening of the femoral component (44 hips), loosening of both components (23 hips), loosening of the acetabular component (17 hips), fracture of the femoral component (14 hips), recurrent dislocation due to prosthetic malposition (7 hips), acetabular protrusion (3 hips), and fracture of the femoral shaft (2 hips). Sixty-six hips were categorized as good or excellent, and 25 hips were rated as fair. Nineteen poor results were due to: (a) deep infection (2 hips); (b) mechanical failure (15 hips); and (c) recurrent dislocation (2 hips). Complications included infection (3.6%), trochanteric problems (13%), mechanical failure (14%), and progressive radiolucent zones (26%). The quality of the result of a revision total hip arthroplasty is potentially as good as that of the original arthroplasty. However, the higher incidence of infection and mechanical failure reduces the frequency of such good results in the long-term. The extremely high incidence of progressive radiolucent zones at the bone-cement interface makes predictions for even longer term results guarded.
在本综述中，107例患者的110髋在特种外科医院和罗伯特·B·布里格姆医院接受了全髋关节翻修术。最短随访期为两年（平均3.4年）。初次全髋关节置换失败的原因包括股骨部件松动（44髋）、两个部件均松动（23髋）、髋臼部件松动（17髋）、股骨部件骨折（14髋）、假体位置不当导致反复脱位（7髋）、髋臼突出（3髋）以及股骨干骨折（2髋）。66髋评定为良好或优秀，25髋评定为尚可。19例不良结果归因于：（a）深部感染（2髋）；（b）机械故障（15髋）；（c）反复脱位（2髋）。并发症包括感染（3.6%）、转子问题（13%）、机械故障（14%）以及进行性透亮带（26%）。全髋关节翻修术的结果质量有可能与初次置换术一样好。然而，感染和机械故障的较高发生率长期来看会降低获得良好结果的频率。骨水泥界面处进行性透亮带的极高发生率使得对更长期结果的预测较为谨慎。
