Total hip arthroplasty: survival and modes of failure

Total hip arthroplasty: survival and modes of failure
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DOI:
10.1302/2058-5241.3.170068
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发表时间:
2018-05-01
期刊:
影响因子:
3.4
通讯作者:
Koutalos, Antonios
Koutalos, Antonios
中科院分区:
医学2区
文献类型:
--
作者:
Karachalios, Theofilos;Komnos, George;Koutalos, Antonios

文献摘要

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全髋关节置换术(THA)是治疗终末期髋关节疾病的一种非常理想的手术方式。在过去的十年里,为了降低早期和晚期的失败率,人们引入了各种假体改进,如大股骨头以提高稳定性,多孔金属来加强固定,替代轴承以改善磨损。全髋关节置换术的失败模式有一个变化的模式。失败模式与患者相关因素之间的关系,以及翻修的时间和类型对于了解和预防假体的短期和晚期失败是非常重要的。早期采用技术或假体设计的创新可能会导致早期失败的风险增加。
Total hip arthroplasty (THA) is a very satisfactory surgical procedure for end-stage hip disorders.Implant modifications, such as large femoral heads to improve stability, porous metals to enhance fixation and alternative bearings to improve wear, have been introduced over the last decade in order to decrease the rate of early and late failures.There is a changing pattern of THA failure modes.The relationship between failure modes and patient-related factors, and the time and type of revision are important for understanding and preventing short and late failure of implants.The early adoption of innovations in either technique or implant design may lead to an increased risk of early failure.