髋关节置换术后失败原因分析Reasons for revision after total hip arthroplasty
卢宏章;朱天岳;柴卫兵;文立成;曹永平;李军;刘震宁;
摘要(Abstract)：
[目的]分析髋关节置换术后接受翻修手术的病例,探讨髋关节置换术后不同时期失败的原因和特点。[临床资料]回顾性分析1995年6月～2005年6月间髋关节置换术后失败接受翻修手术的病例78例。其中全髋置换术后翻修42例,股骨头置换术后翻修36例。初次髋关节置换术后5年以内翻修的共36例,5年以上翻修的42例。[结果]在早期失败(5年以内)的病例中,失败原因主要是感染(16例),其次是假体无菌性松动,髋臼磨损和机械性失败。在晚期失败(5年以上)的病例中,失败原因主要为无菌性松动,髋臼磨损。[结论]感染是全髋关节置换术后早期松动的主要原因之一。而全髋关节置换术后的主要原因是晚期无菌性松动。
关键词(KeyWords)： 髋关节;全髋关节置换;翻修术
基金项目(Foundation):
作者(Author): 卢宏章;朱天岳;柴卫兵;文立成;曹永平;李军;刘震宁;
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参考文献(References)：
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