人工髋关节翻修术16例临床分析  

Clinical Analysis of Revision Hip Arthroplasty in 16 Patients

作　　者：肖涛[1] 唐新桥[1] 廖龙元[1] 傅荫宇[1] 

机构地区：[1]中南大学湘雅二医院骨科,湖南长沙410011

出　　处：《中国医师杂志》2002年第7期716-717,共2页Journal of Chinese Physician

摘　　要：目的　探讨人工髋关节置换术后晚期假体松动的原因及翻修技术。方法　应用进口或国产骨水泥型人工髋关节对 16例髋关节疼痛、难以履行假体功能的人工髋关节施行人工髋关节翻修术。结果　⑴术中均发现假体周围有不同厚度的界膜组织存在。⑵平均随访 2 6年 ,术后康复顺利 ,疗效满意。结论　⑴人工髋关节置换术后晚期假体松动可能与假体周围界膜组织形成有关。⑵彻底清创以及建立良好的骨床是髋关节翻修术成功的关键。Objective To research the cause of loosening of the prosthesis in advanced complication and after total hip joint replacement the technology in revision hip arthroplasty. Methods Using bone cement artifical prosthesis,16 patients were performed revision because the pain or the function failure in hip joint after total hip arthroplasty.Results ⑴Interfacial membranes were found around prosthesis in revision hip arthoplasty. ⑵Patients were followed up for an average 2.6 years.Conclusions ⑴Loosening of the prosthesis of late complication after total hip arthroplasty may relate to interfacial membranes. ⑵Throughout debriding and reconstrucling proper bone bed are key process in revision hip arthroplasty.

关 键 词：人工髋关节 置换术 翻修术 假体 

分 类 号：R687.4[医药卫生—骨科学]