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翻修全髋关节置换术中的髋臼重建:选择综述

Acetabular reconstruction in revision total hip arthroplasty: a review of options.

作者信息

Markovich G D

机构信息

Department of Orthopaedic Surgery, Portsmouth Naval Medical Center, Virginia, USA.

出版信息

Am J Orthop (Belle Mead NJ). 1998 Oct;27(10):662-70.

PMID:9796708
Abstract

Revision of the acetabular component in total hip arthroplasty occurs for reasons such as polyethylene wear and osteolysis, recurrent dislocation, and mechanical failure. The major problems in acetabular revision surgery are loss of bone stock, difficulty in achieving stability, and alteration of the hip center of rotation. The goal of reconstruction is to use or restore the supportive structural integrity of the acetabulum to create a situation similar to primary arthroplasty. There are several options for reconstruction in acetabular revision surgery. This paper reviews contemporary revision options and concepts relating to the acetabulum.

摘要

全髋关节置换术中髋臼组件的翻修是由多种原因引起的,如聚乙烯磨损和骨溶解、复发性脱位以及机械故障。髋臼翻修手术的主要问题是骨量丢失、难以实现稳定以及髋关节旋转中心改变。重建的目标是利用或恢复髋臼的支撑结构完整性,以创造一种类似于初次关节置换的情况。髋臼翻修手术中有几种重建选择。本文回顾了与髋臼相关的当代翻修选择和概念。

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引用本文的文献

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Structural and Morselized Allografting Combined with a Cementless Cup for Acetabular Defects in Revision Total Hip Arthroplasty: A 4- to 14-Year Follow-Up.结构性同种异体骨移植结合非骨水泥髋臼杯在翻修全髋关节置换术中髋臼缺损的应用:4 至 14 年随访结果。
Biomed Res Int. 2018 Feb 4;2018:2364269. doi: 10.1155/2018/2364269. eCollection 2018.
2
Bone graft incorporation after revision hip arthroplasty in patients with rheumatoid arthritis: seventy eight revisions using bone allografts with or without metal reinforcements.类风湿关节炎患者行髋关节翻修术后植骨融合情况:78 例翻修术采用异体骨移植联合或不联合金属加强物。
Int Orthop. 2013 Apr;37(4):595-8. doi: 10.1007/s00264-013-1794-8. Epub 2013 Feb 8.
3
Salvage of failed acetabular cages by nonbuttressed trabecular metal cups.
失败的髋臼笼通过非支撑小梁金属杯进行补救。
Clin Orthop Relat Res. 2010 Feb;468(2):466-71. doi: 10.1007/s11999-009-0935-2. Epub 2009 Jun 20.