Lapp R A, Schatzker J
Can J Surg. 1981 Sep;24(5):485-7.
This preliminary report deals with the early results obtained from a new conservative hip arthroplasty--the Wagner resurfacing total hip arthroplasty in which the acetabulum is replaced with a high-density polyethylene cup and the femoral head resurfaced with a metallic cup. Between February 1977 and September 1978, 51 patients, ranging in age from 12 to 70 years, underwent this operation. They had a variety of hip diseases. All patients were assessed prospectively by the Harris hip rating method. The results of operation were excellent. All patients but one had complete or marked relief of pain. To date there have only been two failures. With this procedure the considerable problem associated with the conventional hip arthroplasty, that of stem loosening, is avoided. It is possible to salvage a failed Wagner resurfacing operation by hip arthrodesis or by conventional total hip arthroplasty. While it is still too early to advocate its universal acceptance, the Wagner resurfacing total hip arthroplasty is expected to be widely adopted and used with success.
这份初步报告探讨了一种新型保守性髋关节置换术——瓦格纳表面置换全髋关节置换术的早期结果。在该手术中，髋臼用高密度聚乙烯杯置换，股骨头用金属杯进行表面置换。1977年2月至1978年9月期间，51例年龄在12岁至70岁之间的患者接受了该手术。他们患有多种髋关节疾病。所有患者均采用哈里斯髋关节评分法进行前瞻性评估。手术结果极佳。除1例患者外，所有患者的疼痛均得到完全或显著缓解。迄今为止，仅有两例失败病例。采用该手术方法可避免传统髋关节置换术所伴随的严重问题，即假体柄松动。对于失败的瓦格纳表面置换手术，可通过髋关节融合术或传统全髋关节置换术进行挽救。虽然现在提倡广泛采用该手术还为时过早，但预计瓦格纳表面置换全髋关节置换术将会被广泛采用并取得成功。
