Gualtieri G, Vellani G, Dallari D, Catamo L, Gualtieri I, Fatone F, Bonomini V
IV Divisione, Istituto Ortopedico Rizzoli, Bologna.
Chir Organi Mov. 1995 Apr-Jun;80(2):139-45.
The authors present 15 cases of hyp arthroplasty implanted in patients affected with necrosis of the femoral head, which were undergoing periodic hemodialitic treatment, or with renal transplants. Ceramic-ceramic prostheses were prevalently used and only in 1 case was a metal-polyethylene prosthesis used. Because of precarious mineralization a cemented prosthesis was implanted in dialyzed patients; in renal transplants, instead, cemented or cementless prosthesis were used depending on the state of the bone. There was a high percentage of excellent results after 2-8 years (87%), and this confirms the validity of surgical indications for the use of arthroplasty in hips affected with epiphyseal necrosis in order to favor functional recovery: considering the young age od the patients, this helps them to go back to being a part of society, and to recover psychologically.
作者报告了15例为股骨头坏死患者植入髋关节置换术的病例，这些患者正在接受定期血液透析治疗或已接受肾移植。主要使用的是陶瓷对陶瓷假体，仅1例使用了金属对聚乙烯假体。由于骨矿化不稳定，为接受透析的患者植入了骨水泥型假体；而在肾移植患者中，则根据骨质情况使用骨水泥型或非骨水泥型假体。2至8年后，优良结果的比例很高（87%），这证实了在患有骨骺坏死的髋关节中使用关节置换术以促进功能恢复的手术指征的有效性：考虑到患者的年轻年龄，这有助于他们重新融入社会并在心理上恢复健康。
