The Harrington reconstruction for advanced periacetabular metastatic destruction - Good outcome in 32 patients
The Harrington reconstruction for advanced periacetabular metastatic destruction - Good outcome in 32 patients
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DOI：
10.1080/000164700317362226
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发表时间：
2000-12-01
期刊：
影响因子：
--
通讯作者：
Ornstein, E
中科院分区：
文献类型：
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作者：
Nilsson, J;Gustafson, P;Ornstein, E
我们报告了32例晚期髋臼周围转移性破坏的手术患者的结果，除2例外，其余均为Harrington III级破坏。手术采用Harrington重建技术，采用螺纹钉、骨水泥和全髋关节置换术重建髋臼和髂骨，中位生存期为11(0~106+)个月。13例存活1年以上。术后1年随访，10例静息负重疼痛消失，6例无支架行走，7例无支架行走，11例生活在医疗机构外。术后2周内死亡2例，均死于围手术期出血过多，2例脱位，1例深部感染，2例深静脉血栓形成。没有因错误置针或术中血栓事件而引起的并发症。Harrington重建技术没有骨盆部件的机械故障或放射学松动迹象，是缓解晚期髋臼周围转移性破坏患者疼痛和恢复功能的一种有效和持久的方法。
We report the outcome in 32 patients operated on for advanced periacetabular metastatic destruction, where all but 2 had Harrington class III destruction. The patients mere operated on using the Harrington reconstruction technique, where threaded pins and cement and a total hip replacement are used to reconstruct the acetabulum and ilium,The median survival was 11 (0-106+) months. 13 patients lived for a year or more. At follow-up after 1 year, 10 of the 13 were free of pain at rest and weight-bearing, 6 mere walking with and 7 without support, and 11 lived outside a health care facility.2 patients died within 2 weeks of surgery, both of excessive peroperative bleeding, 2 patients had dislocations, 1 developed a deep infection, and 2 patients deep vein thrombosis. There were no complications caused by erroneous pin placement or intraoperative thromboembolic incidents. There mere no mechanical failures, or radiographic signs of loosening, of the pelvic components,The Harrington reconstruction technique is an effective and long-lasting method to relieve pain and restore function in patients with advanced periacetabular metastatic destruction.