| 人工髋关节置换术后翻修的原因及治疗 |
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| 引用本文： | 丁海,周建生,肖玉周,周新社,刘振华,官建中.人工髋关节置换术后翻修的原因及治疗[J].蚌埠医学院学报,2009,34(7):568-570. |
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| 作者姓名： | 丁海 周建生 肖玉周 周新社 刘振华 官建中 |
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| 作者单位： | 蚌埠医学院第一附属医院骨科, 安徽蚌埠 233004 |
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| 摘 要： | 目的:分析人工髋关节置换术后翻修的原因及治疗,评价全髋关节翻修术的临床疗效。方法:行人工髋关节翻修手术18例(18髋)。初次关节置换类型:人工股骨头置换3例,全髋关节置换15例。翻修原因:无菌性松动14例,股骨头置换后髋臼磨损2例,股骨柄位置不良1例,感染1例。结果:术后随访0.5~4年,返修总优良率为84%,效果良好。结论:无菌性松动是全髋关节翻修术最常见原因,全髋关节翻修术是有效治疗手段。
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| 关 键 词： | 关节成形术 髋假体 翻修术 无菌性松动 |
| 收稿时间： | 2009-01-23 |
Revision of failed hip arthroplasty |
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| DING Hai,ZHOU Jian-sheng,XIAO Yu-zhou,ZHOU Xin-she,LIU Zhen-hua,GUAN Jian-zhong.Revision of failed hip arthroplasty[J].Journal of Bengbu Medical College,2009,34(7):568-570. |
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| Authors: | DING Hai ZHOU Jian-sheng XIAO Yu-zhou ZHOU Xin-she LIU Zhen-hua GUAN Jian-zhong |
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| Affiliation: | Department of Orthopaedics, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China |
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| Abstract: | Objective:To analyze the reasons for total hip arthroplasties revision, and to evaluate the results.Methods:Eighteen cases (18 hips)with loosened hip prosthesis were revised.The primary hip arthroplasty included femoral head replacement (3 cases)and total hip replacement (15 cases).The reasons for revision were aseptic loosening (14 cases),acetabular erosion (2 cases),infection (1 case)and femur prosthesis failure (1 case).Results:The follow-up lasted from 6 months to 4 years.The successful rate of revision was 84%.Conclusions:The most common reason for revision is aseptic loosening,and the results of revision of total hip arthroplasty are satisfactory. |
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| Keywords: | arthroplasty hip prosthesis revision aseptic loosening |
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