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[双极髋关节置换术的生物力学原理、适应症及早期结果]

[Biomechanical principles, indications and early results of bipolar hip arthroplasty].

作者信息

Bednarek A, Gagała J, Blacha J

机构信息

Katedry i Kliniki Ortopedii i Traumatologii AM w Lublinie.

出版信息

Chir Narzadow Ruchu Ortop Pol. 1998;63(2):133-8.

PMID:9684496
Abstract

The authors present indications and early results of bipolar hip arthroplasty in 58 patients (46 females, 12 males) aged 38-84 (mean 65 years). Femoral neck fracture in 51 patients, femoral neck pseudoarthrosis in 3, pathological fracture of the femoral neck in 2 and early type of hip osteoarthritis constituted the indication for bipolar hip replacement. No infection or dislocation has occurred. Mean follow-up was 1.5 years (6-36 months). Revision of the replacement was necessary in one patient due to faulty size of chosen implant. Results in remaining patients were rated excellent to good (mean Harris Hip Score was 93 points) with great range of movement in the operated hip. No signs of acetabular cartilage deterioration or prosthetic protrusion was observed.

摘要

作者介绍了58例年龄在38 - 84岁(平均65岁)患者(46名女性,12名男性)接受双极髋关节置换术的适应症及早期结果。其中51例为股骨颈骨折,3例为股骨颈假关节,2例为股骨颈病理性骨折,早期髋关节骨关节炎构成了双极髋关节置换的适应症。未发生感染或脱位。平均随访时间为1.5年(6 - 36个月)。1例患者因所选植入物尺寸错误而需要进行置换翻修。其余患者的结果评定为优至良(平均Harris髋关节评分为93分),手术髋关节活动范围大。未观察到髋臼软骨退变或假体突出的迹象。

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