新概念壳髋臼修复papprosky Iii型缺损34例的初步研究

SPG biomed Pub Date : 2019-01-01 DOI:10.32392/biomed.50
Ceretti Marco, P. Gabriele, F. Francesco
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引用次数: 1

摘要

全髋关节置换术患者寿命的延长和手术指征的年轻化趋势,将增加翻修手术的数量和复杂性。无骨水泥髋臼假体比骨水泥假体的长期生存率更高。有时髋臼外周(RIM)和髋臼壁完整性不足以保证新植入物的良好稳定性。通常,III A和III B类帕普洛斯基缺陷的治疗选择有:带胶结聚乙烯衬垫的笼状种植体、带增强物的无水泥种植体、带生物/金属增强物的大翻修壳种植体或柄杯种植体。LIMA髋臼翻修系统的诞生,使固定笼的优点与原有假体外壳的所有优点的结合成为可能。该解决方案提供了与笼一样的稳定性和更多的选择,以恢复髋关节旋转中心,而不是初级杯
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acetabular Revision Of Paprosky Iii Defects With A New Concept Shell: A Preliminary Study On 34 Consecutive Cases
The increasing duration of life with total hip arthroplasties and trend toward indication for surgery at younger ages, will increase the amount and complexity of revision surgery. Cementless acetabular components have shown improved long term survival over cemented components. Sometimes peripheral acetabular circumference (RIM) and acetabular wall integrity aren’t enough preserved to guarantee a new implant good stability. Usually the treatment options for III A and III B Paprosky defects are: cage implant with cemented polyethylene liner, cementless implants with augmentation using, big revision shell implant with biological/metal augmentation or the stemmed cup implant. The LIMA acetabular revision system born to make possible the combination between cage benefit with all the primary implant shell advantages. This solution gives the same stability of a cage and more options than a primary cup to restore the hip rotation centre without
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