Reasons for revision hip surgery - A retrospective review
Reasons for revision hip surgery - A retrospective review
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DOI：
10.1097/01.blo.0000150126.73024.42
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发表时间：
2004-12-01
影响因子：
4.2
通讯作者：
Maloney, WJ
中科院分区：
文献类型：
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作者：
Clohisy, JC;Calvert, G;Maloney, WJ
本研究的目的是确定连续一系列患者接受同期翻修髋关节手术的适应证。我们回顾了1996-2003年间进行的439例翻修髋关节手术的临床记录和X线片。其中55%为无菌性松动，14%为不稳定，13%为固定良好的种植体周围骨溶解，7%为感染，5%为假体周围骨折，3%为半关节置换术，1%为腰肌撞击，1%为松动召回的种植体，1%为种植体骨折。正如预期的那样，无菌性松动是翻修手术最常见的原因。不稳定是早期翻修的常见原因，而固定良好的植入物周围骨溶解的翻修是后期翻修的更常见原因。
The purpose of this study was to determine the indications for contemporary revision hip surgery in a consecutive series of patients. We retrospectively reviewed the clinical records and radiographs of 439 revision hip surgeries done between 1996 and 2003. Fifty-five percent of the surgeries were for aseptic loosening, 14% were for instability, 13% were for osteolysis around a well-fixed implant, 7% were for infection, 5% were for periprosthetic fracture, 3% were for conversion of a hemiarthroplasty, 1% was for psoas impingement, 1% was for loose recalled implants, and 1% was for implant fracture. As expected, aseptic loosening was the most common reason for revision surgery. Instability was a common reason for early revision whereas revision for osteolysis around a well-fixed implant was a more common reason for late revision.