复杂非感染人工髋关节翻修术35例分析

目的:对复杂非感染人工髋关节翻修术临床资料进行回顾性分析,探讨翻修原因、术中常见困难及处理办法.方法:30例行全髋置换翻修,5例臼杯松动仅翻修髋臼,1例合并股骨假体周围骨折行全髋置换翻修加记忆合金环抱器固定股骨干骨折.结果:翻修成功34例,失败1例.经6个月～5年随访,Harris评分术前平均45分,术后平均84分,增加39分.结论:翻修原因主要为人工关节质量和手术技术.因翻修术难度较大,需一定的技术、经验、特殊器械及设备,术者应有充分的准备,方能取得满意效果.

Complex Revision of Noninfective Total Hip Replacement: Analysis of 35 Cases

Objective:A retrospective analysis was performed over clinical data on complex revision of noninfective total hip replacement to explore the reasons for revision,operational difficulties and the corresponding treatment.Methods:The following patients were included in this study:35 cases undergoing revision after total hip replacement,5 cases receiving acetabulum revision due to acetabulum broke,1 case of total hip replacement revision plus fixation of femur shaft with retention alloy because of fracture around the prostheses.Results:Among the 35 cases,a successful revision was abtained in 34 cases with failure in 1 case.All cases were followed up for 6 months to 5 years.Harris' score system showed that the score was raised from 45 points before the operation to 84 points after the operation(average 39 points).39 points were added on average.Conclusions:The major causes of revision were quality of domestic hip prostheses and operative technique of the surgeons.The revision possesses great difficulties.High expertise,experience and specific instrument were required.So the operators should get fully prepared in advance and satisfying outcome could be achieved.