Warwick D, Hubble M, Sarris I, Strange J
University of Bristol, Department of Orthopaedics, Avon Orthopaedic Centre, UK.
Int Orthop. 1998;22(3):165-8. doi: 10.1007/s002640050233.
The records of 56 patients in whom a hemiarthroplasty, carried out for a femoral neck fracture, had been revised to a total hip replacement, were reviewed. The mode of failure was femoral loosening in 21, acetabular erosion in 26 and both in 5. Loosening tended to occur earlier than acetabular erosion. The median time to the onset of symptoms was 12 months and to revision 33 months. There were 38 major operative or postoperative complications at revision in 27 of the patients (48%).
对56例因股骨颈骨折行半髋关节置换术并翻修为全髋关节置换术的患者记录进行了回顾。失败模式为股骨松动21例,髋臼磨损26例,两者皆有5例。松动往往比髋臼磨损出现得更早。症状出现的中位时间为12个月,翻修的中位时间为33个月。27例患者(48%)在翻修时有38例主要手术或术后并发症。