打压植骨联合钛网治疗髋关节翻修术中髋臼缺损疗效的中长期随访Mid-long term follow-up of impaction bone grafting and Ti-alloy mesh for acetabular deficiency in revision total hip arthroplasty
金毅;郑稼;刘珂;王振;陈骁;
摘要(Abstract):
[目的]观察打压植骨联合钛网治疗髋关节翻修术中髋臼缺损的中长期疗效。[方法]2005年1月~2008年12月间,对24例需行髋关节翻修患者采用打压植骨联合钛网重建髋臼缺损,男7例,女17例,平均年龄67岁(58~75岁),初次置换距翻修手术平均8.1年(3~16年),髋臼缺损按Paprosky分型:ⅡC型15例,ⅢA型9例,翻修均选用同种异体骨及骨水泥假体,术后及随访时进行X线评估及Harris评分。[结果]24例患者术后平均随访7.1年(5~9年),术后早期均未见感染、脱位、假体周围骨折等并发症。截止至末次随访除1例再次翻修外均未发生假体松动及再行翻修治疗。患者Harris评分由术前平均38分(12~56分)增至末次随访时的86分(81~92分)。[结论]对于Paprosky分型ⅡC及ⅢA型髋臼骨缺损,打压植骨结合钛网固定技术可获得较满意的中长期疗效。
关键词(KeyWords): 关节成形术;人工髋关节置换;翻修术;打压植骨;金属钛网
基金项目(Foundation):
作者(Author): 金毅;郑稼;刘珂;王振;陈骁;
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DOI:
参考文献(References):
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