Conversion of a failed hip resurfacing arthroplasty to total hip arthroplasty: pearls and pitfalls
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  • 作者:Jacob A. Haynes ; Jeffrey B. Stambough…
  • 关键词:Surface replacement arthroplasty ; Total hip arthroplasty ; Metallosis ; Femoral neck fracture ; Aseptic loosening
  • 刊名:Current Reviews in Musculoskeletal Medicine
  • 出版年:2016
  • 出版时间:March 2016
  • 年:2016
  • 卷:9
  • 期:1
  • 页码:103-111
  • 全文大小:523 KB
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  • 作者单位:Jacob A. Haynes (1)
    Jeffrey B. Stambough (1)
    Robert L. Barrack (1)
    Denis Nam (1)

    1. Department of Orthopaedic Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8233, St. Louis, MO, 63110, USA
  • 刊物主题:Orthopedics; Rehabilitation Medicine; Sports Medicine; Surgical Orthopedics; Minimally Invasive Surgery; Surgery;
  • 出版者:Springer US
  • ISSN:1935-9748
  • 文摘
    Surface replacement arthroplasty (SRA) remains a viable alternative to total hip arthroplasty (THA) in appropriately selected, active adults with degenerative hip disease. However, orthopedic surgeons are facing a number of scenarios where revision of one or both components of an SRA is indicated. Indications for revision vary and impact the potential outcomes of conversion of a SRA to THA. While clinical outcomes are generally favorable, a growing body of data illustrates patients who undergo conversion of a SRA to THA to be at increased risk of requiring a repeat revision surgery and experiencing functional outcomes inferior to that of a primary THA. The results of patients undergoing conversion of a SRA to THA highlight the need for careful patient selection, thorough preoperative counseling, and technical precision when performing a SRA. Furthermore, a systematic approach to the failed SRA is necessary to ensure optimal clinical results.

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