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[骨水泥型全髋关节置换术中髋臼顶的重建]

[Reconstruction of the acetabular roof in cemented total hip replacement].

作者信息

Król R

机构信息

Kliniki Ortopedii i Traumatologii PAM w Szczecinie.

出版信息

Chir Narzadow Ruchu Ortop Pol. 1996;61(4):371-7.

PMID:8974854
Abstract

Acetabular roof reconstruction technique for primary cemented THR according to Zuk is presented in a series of 48 patients. No screws or bone bolts were used for cancellous graf fixation. In 30 patients the graft was sufficiently remodeled within 10-12 months, in 16 cases it lasted 1.5-2 years. Longer remodeling time depended on the size of acetabular defect, coexisting conditions and postoperative complications. In 2 cases an autolysis of the graft occurred; one patient underwent prolonged corticosteroid therapy before, the other one was exposed extensively to chemical substances prior to surgery. Aseptic loosening of the acetabular component followed.

摘要

介绍了根据祖克(Zuk)方法进行的48例初次骨水泥型全髋关节置换术(THR)的髋臼顶重建技术。松质骨移植固定未使用螺钉或骨栓。30例患者的移植物在10 - 12个月内充分重塑,16例持续了1.5 - 2年。更长的重塑时间取决于髋臼缺损的大小、并存情况和术后并发症。2例发生了移植物自溶;1例患者术前接受了长期皮质类固醇治疗,另1例在手术前广泛接触化学物质。随后髋臼部件出现无菌性松动。

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