加强杯联合植骨技术修复翻修术中巨大髋臼骨缺损Revision total hip arthroplasty using acetabular reinforcement device with grafting for the massive bone defects
郭亭;赵建宁;周利武;陆维举;施鑫;吴苏稼;
摘要(Abstract)：
[目的]介绍加强杯联合植骨技术在髋关节翻修手术中巨大髋臼骨缺损的修复应用。[方法]回顾分析2002~2007年,8例在翻修术中存在严重髋臼骨缺损患者,按D’Antonio分类:ⅡB型1例,ⅡC型2例,Ⅲ型5例;加强杯联合颗粒打压植骨3例,加强杯联合颗粒骨植骨+结构性植骨5例;术后进行临床评估及X线评估。[结果]术后平均随访时间2.7年(6~49个月),未出现假体失败而需要再次翻修病例,植骨组织未见明显骨吸收。Harris评分系统评估患者髋关节功能,术后平均提高47分。[结论]采用颗粒骨打压植骨技术修复腔隙性骨缺损,结构性植骨恢复髋臼后方结构的完整,提高局部骨量,增加假体的骨性接触面,同时利用加强杯固定植骨组织,稳定假体,该方法可有效修复髋臼侧的巨大骨缺损。
关键词(KeyWords)： 全髋关节翻修术;髋臼骨缺损;重建
基金项目(Foundation):
作者(Author): 郭亭;赵建宁;周利武;陆维举;施鑫;吴苏稼;
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参考文献(References)：
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