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采用带螺纹髋臼杯和结构性同种异体骨移植的髋关节翻修术后失败情况。18例中有13例在1至4年后出现松动。

Failures after revision hip arthroplasties with threaded cups and structural bone allografts. Loosening of 13/18 cases after 1-4 years.

作者信息

Hoikka V, Schlenzka D, Wirta J, Paavilainen T, Eskola A, Santavirta S, Lindholm T S

机构信息

Orthopedic Hospital, Invalid Foundation, Helsinki, Finland.

出版信息

Acta Orthop Scand. 1993 Aug;64(4):403-7. doi: 10.3109/17453679308993654.

DOI:10.3109/17453679308993654
PMID:8213115
Abstract

Uncemented threaded, smooth cup acetabular components and structural deep-frozen bone allografts harvested from femoral heads during arthroplasties were used for reconstruction of the acetabulum in 18 revision hip arthroplasties. Autogenous bone grafts were also used in every case. The mean follow-up time was 2.5 (1-4) years. Loosening of the prosthetic component occurred in 13 cases. In 8 cases revision of the acetabular component has already been performed, and 5 cases remain to be reoperated. The use of uncemented, threaded cups in combination with reconstruction of bone defects with structural allografts cannot be recommended in acetabular revisions.

摘要

在18例髋关节翻修手术中,使用了非骨水泥型带螺纹、表面光滑的髋臼部件以及在关节置换术中从股骨头获取的结构性深冻同种异体骨移植材料来重建髋臼。每例手术均使用了自体骨移植。平均随访时间为2.5(1 - 4)年。13例出现假体部件松动。其中8例已经进行了髋臼部件翻修,5例仍有待再次手术。在髋臼翻修中,不推荐使用非骨水泥型带螺纹髋臼杯联合结构性同种异体骨移植来修复骨缺损。

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Chir Organi Mov. 2009 May;93(1):15-9. doi: 10.1007/s12306-009-0019-1. Epub 2009 Apr 29.
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[Acetabular reinforcement rings in revision total hip arthroplasty: midterm results in 298 cases].[髋臼加强环在髋关节翻修全髋关节置换术中的应用:298例中期结果]
Orthopade. 2008 Sep;37(9):904, 906-13. doi: 10.1007/s00132-008-1314-5.