异体骨移植在全髋关节置换术后感染股骨翻修中的应用
Medical Journal of Chinese People's Liberation Army(2007)
Abstract
目的探讨异体骨植骨治疗髋关节置换术后感染股骨骨质缺损的有效性与可行性。方法髋关节置换术后感染股骨侧骨质缺损患者20例,在二期翻修时采用异体植骨,其中16例股骨侧使用骨水泥固定假体结合打压植骨,4例股骨侧使用非骨水泥固定假体结合异体皮质骨支撑植骨。术后定期随访,根据X线片及Harris评分结果进行评价。结果所有患者均获随访,平均随访时间20.3个月(4~61个月),X线片上无明显异体骨溶解征象,Harris评分从术前的平均34.2分提高到最后随访时的平均87.7分,患者满意率为90%,在最后随访时没有感染复发患者。结论异体骨植骨治疗髋关节置换术后感染后股骨侧骨质缺损是有效且可行的。
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Key words
reoperation,replacement,bone transplantation,infection,hip,arthroplasty
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