| 人工全髋翻修及非骨水泥假体的应用:5年同一机构41例41髋资料回顾 |
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| 引用本文： | 梁潇. 人工全髋翻修及非骨水泥假体的应用:5年同一机构41例41髋资料回顾[J]. 中国组织工程研究与临床康复, 2010, 14(4). DOI: 10.3969/j.issn.1673-8225.2010.04.019 |
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| 作者姓名： | 梁潇 |
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| 作者单位： | 沈阳市骨科医院,辽宁省沈阳市,110044 |
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| 摘 要： | 背景:随着人工全髋关节置换后随访时间的延长,需行翻修者逐渐增多.而人工关节出现机械性松动前常已发现假体周围骨溶解,它将随着时间的推移而逐渐加重,不断加重的骨溶解会引起人工关节松动,最终导致关节翻修.目的:观察非骨水泥假体在人工全髋关节置换后翻修术中的应用效果.方法:对2004/2009沈阳市骨科医院收治的人工关节置换后患者41例(41髋)进行了翻修,再置换关节为北京普鲁士钢研外科植入物有限公司提供的旋入式全髋关节及美国史塞克有限公司生产的非骨水泥压配式全髋关节.41个髋臼中无髋臼骨缺损8髋,Gustillo Ⅰ-Ⅱ型髋臼松动17髋,Ⅲ型髋臼松动8髋,对上述患者直接用纯钛螺旋臼成型或髋臼底加用颗粒植骨;Ⅳ型髋臼松动骨缺损8髋,采用颗粒植骨,钛网重建髋臼,骨水泥髋臼假体成型.取出假体柄后试情况置入非骨水泥普通假体柄或加长柄,根据试骨缺损情况进行假体周围植骨,必要时捆绑带固定.结果与结论:髋臼侧进行了钛网重建植骨的8例患者翻修后3 d可以下地非负重拄拐行走,其余患者均可以于翻修后3 d下地负重行功能练习.翻修后随访6-66个月,无假体移位下沉等不稳迹象,无需要再重新翻修的病例,Harris评分由翻修前的平均32.6分增加到翻修后的平均88.1分.随访X射线片显示部分患者骨质改建,密度增加,未发现假体周围有新出现亮带的患者.结果提示,采用非骨水泥假体对髋关节进行翻修后,近期可取得较好的修复效果,远期效果有待随访.
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| 关 键 词： | 全髋关节置换 非骨水泥假体 翻修 并发症 髋关节假体 |
Total hip revision and non-bone cement prosthesis: Review of 41 cases with 41 hips in one institute within 5 years |
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| Liang Xiao. Total hip revision and non-bone cement prosthesis: Review of 41 cases with 41 hips in one institute within 5 years[J]. Journal of Clinical Rehabilitative Tissue Engineering Research, 2010, 14(4). DOI: 10.3969/j.issn.1673-8225.2010.04.019 |
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| Authors: | Liang Xiao |
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| Affiliation: | Liang Xiao Shenyang Orthopaedics Hospital,Shenyang 110044,Liaoning Province,China |
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| Abstract: | BACKGROUND: With follow-up prolonged, more patients received total hip replacement need to revision. Periprosthetic osteolysi, accompanied by aspetic loosening, would be aggratate, which lead to artificial joint loosening, eventually, result in joint renovation. OBJECTIVE: To observe the therapeutic effect of non-bone cement prosthesis on joint renovation following total hip replacement. METHODS: Totally 41 patients (41 hips) received renovation following total hip replacement at the Shenyang Orthopaedics H... |
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