Brien W W, Golz R J, Kuschner S H, Brien E W, Wiss D A
Rancho Los Amigos Medical Center, Los Angeles, California.
J Arthroplasty. 1994 Apr;9(2):171-6. doi: 10.1016/0883-5403(94)90066-3.
Sixteen patients who had undergone hip arthrodesis utilizing an anteriorly placed compression plate were evaluated at an average of 4.5 years after surgery. The technique was designed to facilitate future conversion to a total hip arthroplasty by preserving the abductor musculature. Of the 11 patients who underwent primary fusions, 5 failed to unite (45%). Nonunion occurred in all five (100%) patients undergoing refusion for a failed surgical arthrodesis. The authors conclude that an anterior compression plate alone in patients with limited bone stock does not provide adequate fixation and predisposes the patient to failure of fixation and nonunion.
对16例采用前路加压钢板进行髋关节融合术的患者进行了评估，平均随访时间为术后4.5年。该技术旨在通过保留外展肌来便于未来转换为全髋关节置换术。在11例行初次融合术的患者中，5例未愈合（45%）。在所有5例（100%）因手术性关节融合失败而接受再次融合术的患者中均发生了骨不连。作者得出结论，对于骨量有限的患者，单纯使用前路加压钢板不能提供足够的固定，且易导致患者固定失败和骨不连。
