摘要
作者报告了１９０例（１９６髋）骨水泥固定全髋关节置换术的远期随访结果。本组病例平均随访８．７年。本次随访资料与同组随访期４年的资料比较，手术近中期疗效满意。根据Ｈａｒｒｉｓ髋关节评定标准，平均得分从８５分降至７８．４分，手术翻修率从６．８４％上升到１４．７３％。假体失败手术翻修的主要原因是：松动与假体柄断裂。本次随访显示手术近期失败原因主要与骨水泥固定技术有关，而在中期失败的原因主要与骨水泥副作用有关。本次随访资料进一步证实对年龄较大病例采用骨水泥固定确是一个良好的方法。
AbstractOne hunderd and ninty- six cemented total hiparthroplasties performed in 190 patients(mean age, 62years ) followed- up with an average of 8.7 years werereviewed. The resuIts were compared with the samegroup previously reported at an average folow-up of 4years. Clinically satisfactory resuIts were observed atthe short- and medium- terms. Eualuation of the studywith Harris score system showed that the score records fell from 85 to 78.4 points in the same group and therevision rate rose fom 6. 84% to 14.73%. The maincauses of the prosthesis failure were loosenning of theprosthesis and of breakage of the prosthesis stem. This follow- up study showed that the shortterm pros-thesis failure was mainly related to the cement- fixingtechnique, while the medium- term failure was due toside effects of the cement.This series showed that ce- mented prosthesis is a good selection especially for el- derly patients.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1994年第9期532-534,共3页
Chinese Journal of Surgery
