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Management of instability and osteolysis after total hip arthroplasty

机译:全髋关节置换术后不稳定性和骨溶解的处理

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摘要

A 54-year-old man who had undergone a left total hip arthroplasty 11 years prior presented to the emergency department with dislocation and acute-onset pain and deformity. He had a history of dislocation less than 1 year after his total hip arthroplasty. He did well for approximately 9 years but had progressively increasing pain for the past 2 years. He had no history of neoplasm and no evidence of infection. Anteroposterior pelvis (A), cross table lateral (B), and anteroposterior hip (C) radiographs at initial presentation are provided. What would you do?
机译:一名54岁的男子在11年前接受了左全髋关节置换术,因脱位,急性发作性疼痛和畸形而出现在急诊科。全髋关节置换术后不到1年的病史。他在大约9年中表现良好,但在过去2年中疼痛逐渐加重。他没有肿瘤史,也没有感染迹象。提供最初呈现时的骨盆前后骨(A),横断面外侧骨(B)和髋骨前后骨(C)。你会怎么做?

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