One-Component Revision of Failed Hip Resurfacing from Adverse Reaction to Metal Wear Debris

被引：35

作者：

Pritchett, James W.

机构：

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 01期

关键词：

total hip arthroplasty; revision; hip resurfacing; wear debris; ARTHROPLASTY; REPLACEMENT; FAILURE; PSEUDOTUMOR; END;

D O I：

10.1016/j.arth.2013.04.011

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This study assessed the results of 90 one-component revisions for failed hip resurfacing due to adverse reaction to metal wear debris (76 acetabular, 14 femoral). Patients with a femoral head size 40-45 mm (n = 33) received a two-piece titanium meshed shell with a cross-linlced polyethylene liner and patients with femoral head size 46-54 mm (n = 43) received metal-on-metal components. Patients with femoral head size >45 mm who wished a metal-polyethylene bearing received a dual mobility femoral prosthesis. The mean follow-up was 61 months and the procedure was successful in 97% of the patients. Three failures required re-revision; there was one deep infection. There were no dislocations. One-component revision is a reasonable alternative to revision to total hip arthroplasty. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：219 / 224

页数：6

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