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人工髋关节置换术后翻修的原因及治疗 被引量:3

Revision of failed hip arthroplasty
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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。 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.
出处 《蚌埠医学院学报》 CAS 2009年第7期568-570,共3页 Journal of Bengbu Medical College
关键词 关节成形术 髋假体 翻修术 无菌性松动 arthroplasty hip prosthesis revision aseptic loosening
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