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全髋关节置换术后的复发性和非复发性脱位

Recurrent and non-recurrent dislocation following total hip arthroplasty.

作者信息

Lindberg H O, Carlsson A S, Gentz C F, Pettersson H

出版信息

Acta Orthop Scand. 1982 Dec;53(6):947-52. doi: 10.3109/17453678208992853.

DOI:10.3109/17453678208992853
PMID:7180407
Abstract

The rate of post-operative dislocation after primary total hip arthroplasty in 1739 cases was 3.3 per cent; 0.9 per cent being classified as recurrent dislocations. Malposition of the socket, limb shortening or any other single technical factors could not be demonstrated to be responsible for post-operative dislocation of the hip. A previous osteotomy predisposed for dislocation, but in no case was this dislocation classified as recurrent. Cases with a previous cervical-femoral fracture were significantly more commonly dislocated compared with coxarthrosis cases. This fact probably could be explained by a high rate of alcoholism in men and old age in women.

摘要

1739例初次全髋关节置换术后的脱位率为3.3%;其中0.9%被归类为复发性脱位。髋臼位置不正、肢体缩短或任何其他单一技术因素均未被证明是导致髋关节术后脱位的原因。既往截骨术易导致脱位,但无一例脱位被归类为复发性脱位。既往有股骨颈骨折的病例与髋关节病病例相比,脱位的发生率明显更高。这一事实可能可以用男性酗酒率高和女性年龄大来解释。

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