Results for a custom acetabular component for acetabular deficiency
Results for a custom acetabular component for acetabular deficiency
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DOI：
10.1054/arth.2002.32106
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发表时间：
2002-08-01
影响因子：
3.5
通讯作者：
Christensen, C
中科院分区：
文献类型：
--
作者：
Joshi, AB;Lee, J;Christensen, C
我们报告了27例全髋关节翻修术中使用三凸缘钛非骨水泥定制髋臼植入物治疗复杂严重髋臼缺损的经验。平均随访时间为58个月（范围：48-72个月）。有9名男性和18名女性。使用Charnley改良的Merle d 'Atibigne和Postel评分系统进行临床评估。使用DeLee和Charnley分级系统进行放射学评估。所有患者在最近一次检查时髋关节评分均有所改善。6例患者（22%）出现并发症。2例患者（7.4%）需要进一步翻修手术。该手术技术要求高，并发症发生率高。在获得更好的长期结果之前，该手术应仅限于Girdlestone假关节是唯一手术选择的患者。
We report our experience with a triflanged titanium cementless custom-made acetabular implant in the management of complex major acetabular deficiency for revision total hip arthroplasty in 27 patients. The mean follow-tip period was 58 months (range, 48-72 months). There were 9 men and 18 women. Clinical assessment was performed using Charnley's modification of the Merle d'Atibigne and Postel scoring system. Radiographic assessment was carried out using the DeLee and Charnley grading system. All patients had improved hip scores at latest examination. Six patients (22%) had complications. Two patients (7.4%) required further revision surgery. This procedure is technically demanding and has a high complication rate. Until better long-term results are shown, this procedure should be restricted to patients for whom a Girdlestone pseudarthrosis is the only surgical alternative.