DISLOCATIONS AFTER TOTAL HIP-REPLACEMENT ARTHROPLASTIES

DISLOCATIONS AFTER TOTAL HIP-REPLACEMENT ARTHROPLASTIES
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DOI:
10.2106/00004623-197860020-00014
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发表时间:
1978-01-01
影响因子:
5.3
通讯作者:
ZIMMERMAN, JR
ZIMMERMAN, JR
中科院分区:
医学1区
文献类型:
--
作者:
LEWINNEK, GE;LEWIS, JL;ZIMMERMAN, JR

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在300例全髋关节置换术中,9例(3%)脱位。精确测量髋臼杯的方向;前脱位与髋臼组件前倾增加有关。髋臼杯方向角与后脱位无明显相关性。前倾角为15 ± 10 °时髋臼杯方向的脱位率。10.degree.和40 ±的横向开口。10.degree.在安全范围外脱位率为6.1%。记录的其他因素包括术后时间(前30天风险最大)和手术史(既往手术的髋关节风险更大)。
In a series of 300 total hip replacements, 9 (3%) dislocated. Precise measurements of the orientation of the acetabular cup were made; anterior dislocations were associated with increased acetabular-component anteversion. There was no significant correlation between cup-orientation angle and posterior dislocation. The dislocation rate for cup orientation with anteversion of 15 .+-. 10.degree. and lateral opening of 40 .+-. 10.degree. was 1.5%, while outside this safe range the dislocation rate was 6.1%. Other factors that were documented include time after surgery (with the greatest risk in the first 30 days) and surgical history (with a greater risk in hips that have had prior surgery).