CAJ | 학술논문

目的：对人工髋关节置换术后翻修的主要原因进行分析，并提出相应的翻修技术。方法对我院2002年1月至2012年1月以来156位患者进行人工髋关节置换术后翻修的主要原因进行分析和总结，并总结出相应的翻修技术。结果人工髋关节置换术后翻修的主要原因是假体松动、假体周围出现骨溶解的情况，人工髋关节置换术后翻修的第二个原因是由人工股骨头造成的髋臼磨损。而手术操作失误、手术之后的感染情况也是造成人工髋关节置换术后翻修的主要原因。结论人工髋关节置换术后翻修的主要原因是假体无菌性松动，在进行人工髋关节置换术后翻修的过程中，要科学、合理地选择修复和重建髋臼的方法，但最重要的还是在第一次手术的时候要保证较好的手术质量。
목적：대인공관관절치환술후번수적주요원인진행분석，병제출상응적번수기술。방법대아원2002년1월지2012년1월이래156위환자진행인공관관절치환술후번수적주요원인진행분석화총결，병총결출상응적번수기술。결과인공관관절치환술후번수적주요원인시가체송동、가체주위출현골용해적정황，인공관관절치환술후번수적제이개원인시유인공고골두조성적관구마손。이수술조작실오、수술지후적감염정황야시조성인공관관절치환술후번수적주요원인。결론인공관관절치환술후번수적주요원인시가체무균성송동，재진행인공관관절치환술후번수적과정중，요과학、합리지선택수복화중건관구적방법，단최중요적환시재제일차수술적시후요보증교호적수술질량。
Objective to analyze the revision of total hip replacement of main reason, and put forward the corresponding revision technique. Methods summarize and analyze the main hospital in 2002 January-2012 year since January 156 patients underwent revision hip arthroplasty reasons and corresponding revision technique.Results the main reason of revision of total hip replacement is loosening, osteolysis around the prosthesis in second case, a revision of the artiifcial hip replacement is the acetabular wear caused by artiifcial femoral head. But after operation, infection operation failure operation are the main reasons for revision hip arthroplasty.Conclusion the main causes of revision of total hip replacement is aseptic loosening of the prosthesis, the revision of total hip arthroplasty in the process, should be scientiifc, reasonable selection of methods of repair and reconstruction of the acetabulum, but the most important still is in the ifrst operation to operation quality guarantee better.