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针对复发性或不可复位性脱位的Charnley低摩擦关节成形术翻修术

Revision of the Charnley low-friction arthroplasty for recurrent or irreducible dislocation.

作者信息

Fraser G A, Wroblewski B M

出版信息

J Bone Joint Surg Br. 1981;63B(4):552-5. doi: 10.1302/0301-620X.63B4.7298683.

DOI:10.1302/0301-620X.63B4.7298683
PMID:7298683
Abstract

Twenty-one cases of the Charnley low-friction arthroplasty were revised because of recurrent or irreducible dislocation. Three main reasons for this revision, usually in combination, were identified: loss of the abductor mechanism due to trochanteric detachment; shortening of the limb due to high placement of the socket or low section of the femoral neck; and malorientation of the components. Sixteen patients had no further problems after revision. One patient had a single dislocation, four had more than one dislocation although they managed to cope with them and did not require a further revision.

摘要

21例Charnley低摩擦关节成形术因复发性脱位或不可复位性脱位而进行翻修。确定了这种翻修的三个主要原因,通常是综合出现:由于大转子分离导致外展肌机制丧失;由于髋臼位置过高或股骨颈截骨过低导致肢体缩短;以及假体组件方向不良。16例患者翻修后未再出现问题。1例患者发生单次脱位,4例患者发生多次脱位,尽管他们能够应对这些脱位且无需进一步翻修。

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引用本文的文献

1
Constrained liners, dual mobility or large diameter heads to avoid dislocation in THA.采用限制型衬垫、双动或大直径股骨头以避免全髋关节置换术中的脱位。
EFORT Open Rev. 2017 Mar 13;1(5):197-204. doi: 10.1302/2058-5241.1.000054. eCollection 2016 May.
2
Cup position alone does not predict risk of dislocation after hip arthroplasty.单纯髋臼位置并不能预测髋关节置换术后脱位的风险。
J Arthroplasty. 2015 Jan;30(1):109-13. doi: 10.1016/j.arth.2014.07.009. Epub 2014 Jul 11.
3
[Late complications of total hip prosthesis: apropos of 42 cases].
[全髋关节假体的晚期并发症:附42例报告]
Pan Afr Med J. 2013;14:17. doi: 10.11604/pamj.2013.14.17.2265. Epub 2013 Jan 12.
4
Recurrence of dislocation following total hip arthroplasty revision using dual mobility cups was rare in 180 hips followed over 7 years.在 180 例髋关节翻修使用双动杯的患者中,7 年以上的随访中,脱位的复发率较低。
HSS J. 2012 Oct;8(3):251-6. doi: 10.1007/s11420-012-9301-0. Epub 2012 Sep 19.
5
Instability after total hip arthroplasty.全髋关节置换术后的不稳定
World J Orthop. 2012 Aug 18;3(8):122-30. doi: 10.5312/wjo.v3.i8.122.
6
Acetabular augmentation for the treatment of unstable total hip arthroplasties.髋臼增强术治疗不稳定全髋关节置换术
Ann R Coll Surg Engl. 1999 Mar;81(2):127-32.
7
Failure patterns after total hip arthroplasty.全髋关节置换术后的失败模式。
Br Med J (Clin Res Ed). 1983 Feb 5;286(6363):476. doi: 10.1136/bmj.286.6363.476.
8
Dislocation following total hip arthroplasty.
Arch Orthop Trauma Surg (1978). 1985;103(6):375-7. doi: 10.1007/BF00435444.
9
Acetabular cup-siting device for total hip arthroplasty.
Arch Orthop Trauma Surg. 1989;108(5):317-21. doi: 10.1007/BF00932323.
10
Structural changes in the socket of a Charnley low friction arthroplasty associated with recurrent subluxation.
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