Raut V V, Wroblewski B M, Siney P D
Centre for Hip Surgery, Wrightington Hospital, Wigan, Lancashire, United Kingdom.
J Arthroplasty. 1993 Aug;8(4):401-3. doi: 10.1016/s0883-5403(06)80039-2.
Fifty-six patients over the age of 80 undergoing revision hip arthroplasty in 57 hips were reviewed. The average age of the patients at the time of surgery was 81 years 6 months and the mean follow-up period was 2 years 6 months. No complications were seen in 21 patients. The complication encountered in the others were medical in 35 and procedure-related in 15. The preoperative risk factor rating (American Society of Anesthesiologists classification) correlated very well with the incidence and grading of medical complications. This correlation was significant, emphasizing the importance of strict preoperative medical and anesthetic assessment in this group of patients. The mean d'Aubigne and Postel hip score improved from 2.8, 2.2, and 3.4 to 5.6, 4.8, and 4.9 after revision surgery.
对56例年龄超过80岁的患者进行了57例髋关节翻修置换术的回顾性研究。手术时患者的平均年龄为81岁6个月，平均随访期为2年6个月。21例患者未出现并发症。其他患者出现的并发症中，35例为内科并发症，15例为与手术相关的并发症。术前风险因素评分（美国麻醉医师协会分级）与内科并发症的发生率和分级密切相关。这种相关性具有显著性，强调了对这组患者进行严格术前内科和麻醉评估的重要性。翻修手术后，平均d'Aubigne和Postel髋关节评分从2.8、2.2和3.4提高到5.6、4.8和4.9。
