Total Hip Arthroplasty for Failed Treatment of Acetabular Fractures A 5-Year Follow-Up Study

被引:39
作者
Zhang, Liang [1 ]
Zhou, Yixin [1 ]
Li, Yujun [1 ]
Xu, Hui [1 ]
Guo, Xiaozhong [1 ]
Zhou, Yixiong [1 ]
机构
[1] Peking Univ, Beijing Jishuitan Hosp, Clin Coll 4, Dept Orthopaed Surg, Beijing 100035, Peoples R China
关键词
total hip arthroplasty; acetabular fracture; aseptic loosening; LONG-TERM; DISLOCATION; CLASSIFICATION; ARTHRITIS; CEMENT;
D O I
10.1016/j.arth.2011.02.024
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Total hip arthroplasty (THA) remains an available surgical option for failed treatment of acetabular fractures. We retrospectively analyzed 53 patients who underwent THA because of failed treatment of acetabular fractures. The mean duration of follow-up monitoring was 64 months (range, 32-123 months) in 49 patients. The average Harris hip score increased from 49.5 before surgery to 90.1 at the latest follow-up examination. Postoperative complications included 1 dislocation, 3 sciatic nerve injuries, and 3 class III instances of heterotopic ossification. There was only 1 revision due to aseptic loosening of the acetabular and femoral component. Despite the technically demanding nature of the procedure, the results of acetabular reconstruction are encouraging in these patients; complication rates are low, and patient satisfaction level is high.
引用
收藏
页码:1189 / 1193
页数:5
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