Pascarel X, Liquois F, Chauveaux D, Le Rebeller A, Honton J L
Service d'Orthopédie-traumatologie, Hôpital Pellegrin-Tripode, Bordeaux.
Rev Chir Orthop Reparatrice Appar Mot. 1993;79(5):357-64.
211 acetabular reinforcement rings of Müller have been implanted when revising total hip arthroplasties, 141 were followed up for more than 5 years. In 52 per cent of cases, an acetabular reconstruction using bone grafts was associated: in 51 cases, a bank allograft was used, one third of the grafts had only a role of filling. Theses rings remained remarkably stable and there were only 2 lacks of fixation: 1.4 per cent in cases non grafted. They allowed a quick weight bearing while warranting stabilisation and protection of the grafts and recentering the hip. So their use has become systematic in THR revisions except for stage IV acetabular loosenings in which the osteosynthesis of the acetabular transverse fracture can be preferred.
在翻修全髋关节置换术时,已植入211个Müller髋臼加强环,其中141个进行了5年以上的随访。52%的病例采用了骨移植进行髋臼重建:在51例中,使用了骨库同种异体骨,其中三分之一的移植骨仅起填充作用。这些环保持了显著的稳定性,仅有2例固定失败:未进行移植的病例中占1.4%。它们允许患者快速负重,同时保证移植骨的稳定和保护,并使髋关节复位。因此,除了IV期髋臼松动(在这种情况下,髋臼横行骨折的骨合成可能更受青睐)外,它们的使用在全髋关节置换术翻修中已成为常规操作。