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AML假体在人工髋关节股骨侧翻修中的应用

Application of total hip revision in femur side with AML prosthesis

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【作者】 李玉军; 张洪; 周乙雄; 窦宝信; 殷建华; 徐辉; 李为; 郭晓忠; 张春雨; 周一新; 黄德勇;

【Author】 LI Yu-jun,ZHANG Hong,ZHOU Yi-xiong,DOU Bao-xin,YIN Jian-hua,XU Hui,LI Wei,GUO Xiao-zhong,ZHANG Chun-yu,ZHOU Yi-xin,HUANG De-yong.Department of Orthopaedics,Beijing Jishuitan Hospital,Beijing 100035,China

【机构】 北京积水潭医院矫形骨科; 北京积水潭医院矫形骨科 100035; 100035;

【摘要】 目的回顾性分析AML假体在人工髋关节股骨侧翻修中的应用经验,探讨其应用价值。方法采用AML假体对35例人工髋关节术后股骨侧假体松动、股骨骨缺损Paprosky分型Ⅰ~Ⅲb型的患者进行了翻修。结果平均随访17个月,所有病例的X线表现均无明显变化,无假体下沉、移位和原有骨缺损进一步加重,Harris评分平均由37分提高到92分。结论人工髋关节术后股骨侧假体松动者中,针对PaproskyⅠ~Ⅲb型骨缺损的翻修,AML假体是一个良好的选择。

【Abstract】 Objective Studying the experience of total hip revision in the femur side with AML prosthesis retrospectively,and to analyze its value.Methods Thirty-five cases were revised with AML prosthesis after failed total hip arthroplasty in the femur side,the bone loss was I-Ⅲb according to Paprosky classification.Results Mean follow-up periods was 17 months,no screenage of prosthesis subside,migrating and more bone loss were showed in all cases postoperatively.Mean Harris score was increased from 37 to 92.Conclusion AML prosthesis is a good choice for the total hip revision in the femur side with I-Ⅲb by Paprosky classification.

【关键词】 髋关节; 关节成形术; 翻修; 假体;
【Key words】 Hip; Arthroplasty; Revision; Prosthesis;
  • 【文献出处】 中国医师进修杂志 ,Chinese Journal of Postgraduates of Medicine , 编辑部邮箱 ,2006年20期
  • 【分类号】R687.3
  • 【被引频次】5
  • 【下载频次】116
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