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When cementless acetabular fixation is used, metal backing is required for skeletal fixation.

采用无骨水泥固定髋臼假体时,需要金属帽作骨性固定。

Objective: To analyze the change of periprosthetic bone mineral density after cementless total hip arthroplasty by dual-energy X-ray absorptiometry.

方 法]对41例全髋关节置换术后患者股骨及髋臼假体周围BMD进行12个月的动态观察,并与23例术后5年以上的患者比较。

This technique can also be applied to acetabular defects when compressed graft is used to fill the defect followed by insertion of either a cemented or cementless acetabular component.19

该技术也能用于髋臼缺损,使用打压的移植物去填充插入骨水泥型或非骨水泥型假体后形成的缺损。

Placement of the acetabular component in a slightly cephalad position allows improed coerage or contact with iable bone.

髋臼假体放置在轻微向头侧移位的位置可增加其覆盖或与活骨的接触。

Revision procedures included 34 (95%) for femoroacetabular impingement, 32 (87%) for labral lesions, 26 (70%) for a chondral defect, 23 (62%) for lysis of adhesions, and 13 (35%) for previously unaddressed instability. Two patients had total hip arthroplasty after revision, and 3 patients required further revision.

修复操作包括34名(95%)因为股骨髋臼损伤,32名(87%)因为唇缘中点损害,26名(70%)因为软骨缺陷,23名(62%)为了粘连松解术,和13名(35%)为了先前位置不稳定。2名病人在修复后接受了全髋关节成形术,3名病人要求更进一步修复。

Thirty-six patients had radiographic evidence of femoroacetabular impingement at the time of revision. Revision procedures included 34 (95%) for femoroacetabular impingement, 32 (87%) for labral lesions, 26 (70%) for a chondral defect, 23 (62%) for lysis of adhesions, and 13 (35%) for previously unaddressed instability.

翻修术时发现有36例患者在股骨头髋臼接触面存在侵犯,关节唇损害32(87%)例,关节软骨缺损26 (70%)例,需要粘连松解术的23 (62%)例,以前关节存在不稳定因素的有13 (35%)例。

Management of complex acetabular fractures accompanied、with colostomy,cystostomy,bedsore,contunding and infected skin near the approach

牛云飞,王家林,张春才。结肠、膀胱造瘘、褥疮和入路附近皮肤挫伤感染期间复杂性髋臼骨折的处理。中国骨伤杂志,2007,(7):458~460

Debride the joint, removing all acetabular articular cartilage dow n

髋臼关软骨直到出现正常的松质骨为止。

However, this technique is associated with complications, as reported by Barrack et al,17 including detachment of the femoral head, dislodgement of the polyethylene liner from the acetabular shell and asymmetrical rotation of the liner.

然而,Barrack等报道这项技术也伴随有相关的并发症,包括股骨头分离,聚乙烯跑出髋臼之外及衬垫位置偏移。

Methods On the basis of the three-dimensional computed tomography, 75 cases of complex acetabular fractures were diagnosed and classified according to Letournel classification. They were treated through the anterior, posterior, combined anterior-posterior and the improved iliofemoral approaches. All the fractures were fixed with screws and AO reconstruction plates.

75例Letournel分型复杂髋臼骨折,术前经骨盆CT三维重建明确诊断分型后,分别采用前、后入路,前后联合入路及笔者改良的髂股入路显露并复位,AO重建钢板内固定。

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