全髋关节翻修术中髋臼骨缺损的分类和重建研究进展

Progress in research on classification and reconstruction of acetabular defects in revision of total hip arthroplasty

在髋关节翻修术中,髋臼骨缺损的治疗具有相当的挑战性。术前的计划,缺损的辨认和稳固的重建是成功翻修手术的基础。应用自体骨和同种异体骨移植填充骨缺损,目前使用特殊的重建方法行髋臼重建已取得了一定的疗效。临床上髋关节翻修手术越来越多,因此有必要针对髋臼骨缺损建立系统的诊断和治疗程序。本文就髋臼骨缺损的分类和重建进展做一综述。

Management of acetabular deficiency in revision of hip arthroplasty can be extremely challenging. A successful outcome requires careful preoperative planning, identification of complex defects, and stable reconstruction. Now, acetabular reconstructions that are conducted with autograft and allograft filling the defect and special techniques are effective. As more revisions of total hip arthroplasty take place in clinic, a systematic approach to diagnosis and treatment becomes more important. This paper reviews the progress made in classification and reconstruction of acetabular defects.