摘要
目的：分析髋关节置换术后5年内需进行翻修患者手术失败的主要原因。方法：本文对23例2008-2010年在我院行髋关节置换术后5年内进行翻修病例的失败原因进行了回顾性分析。结果：具体失败原因包括假体无菌性松动（15/23,65.2%）,感染（4/23,17.5%）,假体脱位（2/23,8.7%）,假体周围骨折（1/23,4.3%）,人工股骨头引起髋臼磨损（1/23,4.3%）。结论：假体无菌性松动和感染是髋关节置换术早期失败的主要原因,应严格掌握手术指征,适当选择假体,规范手术操作,尽量降低髋关节置换术后早期失败率。
Objective：Although the success rate of total hip arthroplasty reach more than 90%, but there are still some patients need for revision hip arthroplasty after 5 years.The purpose of this study is to analysis the main cause of failure of total hip arthroplasty within 5 years. Methods：In this paper, the causes of failure of 23 cases of 2008-2010 revision cases in our hospital in 5 years after total hip arthroplasty were retrospectively analyzed.Results：It was found that the specific causes of failure include aseptic loosening of the implant （15/23,65.2%）,infection （4/23,17.5%）,prosthesis dislocation （2/23,8.7%）,periprosthetic fractures （1/23,4.3%）,acetabular wear by artificial femoral head （1/23,4.3%）. Conclusion：Aseptic loosening and infection is a major cause of early failure of hip replacement,we should strictly control the indications of operation,appropriate choice of prosthesis,standardized operation, as far as possible to reduce hip arthroplasty failure rate.
出处
《中国医药导刊》
2013年第10期1719-1720,共2页
Chinese Journal of Medicinal Guide
关键词
全髋关节置换术
无菌性松动
假体脱位
假体周围骨折
Total hip arthroplasty
Aseptic loosening
Implant dislocation
Periprosthetic fractures
