Total femoral arthroplasty for salvage of end-stage prosthetic disease
Total femoral arthroplasty for salvage of end-stage prosthetic disease
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DOI：
10.1097/01.blo.0000142351.88039.e8
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发表时间：
2004-10-01
影响因子：
4.2
通讯作者：
Dodds, KL
中科院分区：
文献类型：
--
作者：
Berend, KR;Lombardi, AV;Dodds, KL
研究了严重受损股骨行全股关节置换术的患者的并发症和结局。临床情况包括多次翻修全髋关节或膝关节置换术、假体周围骨折失败或多次根治性清创手术治疗的复发性感染。确定了59例患者（平均年龄73.7岁）。平均随访4.8年，疼痛得到充分缓解，Harris髋关节疼痛评分平均为33.8分（44分），膝关节疼痛评分平均为42.8分（50分）。功能良好，98%的患者能够行走，43%的患者不使用辅助设备或仅使用手杖。有18例并发症或后续手术。8例患者发生感染，7例患者发生脱位。全股关节置换术挽救严重受损的股骨，即使在最困难的情况下，也能提供可接受的结果。
The complications and outcomes in patients who had total femoral arthroplasty for salvage of a severely compromised femur were studied. The clinical scenarios included numerous revision total hip or knee arthroplasties, failed periprosthetic fractures, or recurrent infection treated with multiple radical debridement surgeries. Fifty-nine patients (average age, 73.7 years) were identified. At an average 4.8 years followup, adequate pain relief was achieved and Harris hip pain scores averaged 33.8 of 44 points, and knee pain scores averaged 42.8 of 50 points. Good function was achieved with 98% of patients able to ambulate and 43% using no assistive device or a cane only. There were 18 complications or subsequent surgeries. Infection and dislocation occurred in eight patients and seven patients, respectively. Total femoral arthroplasty for salvage of a severely compromised femur provides acceptable results even in the most difficult of cases.