| 48例髋关节置换术后早期失败原因分析 |
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| 引用本文： | 庞显伦,梁熙,郭书权,黄伟. 48例髋关节置换术后早期失败原因分析[J]. 西部医学, 2011, 23(8): 1486-1487,1489. DOI: 10.3969.j.issn.1672-3511.2011.08.031 |
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| 作者姓名： | 庞显伦 梁熙 郭书权 黄伟 |
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| 作者单位： | 泸州医学院附属医院骨科,四川,泸州,646000 |
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| 摘 要： | 目的探讨髋关节置换术早期的失败原因和特点,总结经验,减少术后翻修的发生。方法分析48例接受髋关节翻修患者髋关节置换术后失败的原因,并通过Kaplan-Meier生存曲线分析患者初次接受髋关节置换患者的年龄对人工假体存活时间的影响。结果髋关节置换术患者翻修的平均时间为术后30.6个月,早期失败的原因包括：假体无菌性松动15例（31.3%）,脱位9例（18.7%）,髋臼磨损8例（16.7%）,感染7例（14.6%）和假体断裂5例（10.4%）,而假体周围骨折最低4例（8.3%）,且年龄在50～70岁之间的患者的假体使用寿命最长。结论假体无菌性松动是早期髋关节置换失败的主要原因,矫形外科医师须总结经验,避免术后早期失败。
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| 关 键 词： | 髋关节置换 翻修 假体无菌性松动 |
Reasons of failure of hip arthroplasty |
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| PANG Xian-lun,LIANG Xi,GUO Shu-quan,et al. Reasons of failure of hip arthroplasty[J]. , 2011, 23(8): 1486-1487,1489. DOI: 10.3969.j.issn.1672-3511.2011.08.031 |
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| Authors: | PANG Xian-lun LIANG Xi GUO Shu-quan et al |
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| Affiliation: | PANG Xian-lun,LIANG Xi,GUO Shu-quan,et al(Department of Osteology,Luzhou Medical College,Luzhou 646000,Sichuan) |
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| Abstract: | Objective To analyze the early failure mechanisms and characteristics in patients with revision surgery within 5 years after hip arthroplasty.Method 48 patients with revision surgery were retrospectively analyzed.Kaplan-Meier survival curve was used to analyzed effect of age on the lifetime of hip prostheses.Results The average time of revision hip arthroplasties was 30.6 months.The causes of early revision hip arthroplasties included asptic loosening(31.3%),dislocation(18.7%),acetabular wear(16.7%),infecti... |
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| Keywords: | Hip arthroplasty Revision Asptic loosening |
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