Duncan C P, Beauchamp C
Department of Orthopaedics, University of British Columbia, Vancouver, Canada.
Orthop Clin North Am. 1993 Oct;24(4):751-9.
Management of the infected hip replacement associated with substantial loss of bone, especially segmental loss of the proximal femur, is a challenging problem. In this report, the authors outline the development of an immediate-fit, custom-made, antibiotic-selective replacement system for the hip and proximal femur, to help maintain limb length, joint stability, and mobility of the patient. Despite the initial relatively crude design, it was a valuable adjunct in the management of 15 consecutive cases. A more sophisticated and versatile system has since been developed for use in straightforward and complex cases.
处理伴有大量骨质丢失，尤其是股骨近端节段性骨质丢失的感染性髋关节置换是一个具有挑战性的问题。在本报告中，作者概述了一种用于髋关节和股骨近端的即装式定制抗生素选择性置换系统的研发情况，以帮助维持患者的肢体长度、关节稳定性和活动能力。尽管最初的设计相对粗糙，但它在连续15例病例的处理中是一种有价值的辅助手段。此后，已开发出一种更精密、用途更广泛的系统，用于简单和复杂病例。
