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題 名 | Revision Hip Arthroplasty for Aseptic Loosening: Three Years of Experience=無菌性鬆脫後重人工髖關節置換術:三年的經驗 |
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作 者 | 鄧修鵬; 任振輝; 黃志賢; | 書刊名 | 中臺灣醫學科學雜誌 |
卷 期 | 3:3 1998.09[民87.09] |
頁 次 | 頁133-137 |
分類號 | 416.61 |
關鍵詞 | 無菌性鬆脫; 初次人工髖關節置換術; 重人工髖關節置換術; Aseptic loosening; Primary hip arthroplasty; Revision hip arthroplasty; |
語 文 | 英文(English) |
中文摘要 | 重人工髖關節置換術是目前常用來解決初次人工髖關節置換術後所造成的問題。在三年期間本院為解決無菌性鬆脫而做了56個重人工髖關節置換術,因此本科做了一項回溯性的研究,來評估術後的結果。對於病人的診斷,我們是利用詳細的病史、症狀、症候以及以下其中之一或多項檢查:X光檢查、關節X光攝影、人工關節鬆脫的掃瞄、細菌培養、手術發現、以及實驗檢查,如ESR及CRP。病人的功能性結果是用Merle d'Aubigne hip score來評估,追蹤的方法是在門診時追蹤或以電話追蹤。56個髖關節是因無菌性鬆脫後接受了重人工髖關節置換術,平均追蹤時間為3.83年(2.44年至5.29年)。其中有3例(5.36%)因無菌性鬆脫而接受再重人工髖關節置換術。至於功能性結果,有42.11%為極佳,21.05%為佳, 10.53%為普通,5.26%為尚可,以及21.05%為不好的結果。與先前的一些文獻相比較的結果,發現我們的重-重人工關節置換率、併發症率以及功能性結果都在文獻所報告的範圍之內。因此我們認為重人工關節置換術是治療初次人工關節置換術後造成無菌性鬆脫的一個可接受的方法。 |
英文摘要 | Revision hip arthroplasty has become one of most common reconstructive procedures for problems following primary hip arthroplasties. During our three years of experience with this procedure, we performed 56 revision hip arthroplasties for aseptic loosening. A retrospective study was done in our section to evaluate the results of revision hip arthroplasty for aseptic loosening. Patients were diagnosed based on their detailed history; the symptoms and signs; and one or more than one of following studies: plain film, arthrography, gallium scan study for the diagnosis of septic loosening, bacterial cultures, operative findings and laboratory data such as erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). The functional result was evaluated using the Merle d'Aubigne hip score and patients were followed up either by telephone or by one of us at the outpatient department. Fifty-six hips underwent revision hip arthroplasties for aseptic loosening. Mean follow-up period 3.83 years (ranged from 2.44 to 5.29 years). Three hips (5.36%) received re-revision hip arthroplasties and all were due to aseptic loosening. About the functional result, 42.11% were excellent, 21.05% were good, 10.53% were medium, 5.26% were fair and 21.05% were poor, After reviewing and comparing with the previous reported series, the re-revision rate, complication rate and functional result in our section were within the reported range. Hence we think revision hip arthroplasty is an acceptable treatment for aseptic loosening after total hip arthroplasty. |
本系統中英文摘要資訊取自各篇刊載內容。