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Revision total hip arthroplasty for aseptic failure. A review of 276 cases

机译:修订全髋关节置换术以防止无菌性衰竭。复习276例

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摘要

The results of 276 cemented revision total hip arthroplasties performed for aseptic failure between 1977 and 1986 have been reviewed. The mean time between revision and review was 75 months (range 30 to 144). Of 220 cases available for review, 159 were assessed clinically and radiographically, and 32 by postal questionnaire. Eighteen hips required further revision, 12 for loosening, two for sepsis, two for persistent pain, and one each for fracture and recurrent dislocation. A further six hips were radiologically and symptomatically loose. Pain was mild or absent in 83%. Over half were able to walk a mile or more; 70% flexed more than 70 degrees; 15% had a flexion deformity, but in only 7% was this more than 10 degrees. The mean Harris hip score was 74. Survival at five years was 95% and at 10 years, 77%.
机译:回顾了1977年至1986年间因无菌性衰竭而进行的276次骨水泥翻修全髋关节置换术的结果。修订和复查之间的平均时间为75个月(范围为30到144)。在220例可复查的病例中,有159例接受了临床和影像学评估,其中32例通过邮政问卷进行了评估。 18个髋部需要进一步矫正,其中12个用于松弛,两个用于败血症,两个用于持续疼痛,每个用于骨折和复发性脱位。在放射学上和症状上,另外六只臀部松弛。 83%的人轻微或无疼痛感。超过一半的人能够行走一英里或更多。 70%弯曲超过70度; 15%有屈曲畸形,但只有7%超过10度。 Harris髋关节平均得分为74。五年生存率为95%,十年生存率为77%。
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