大转子延长截骨术在人工全髋关节翻修术中的临床应用进展

Progress of clinical application of ETO in rTHR

在人工全髋关节翻修术中,怎样取出固定牢固的生物型或骨水泥型股骨假体,以及完整取出股骨远端的残留骨水泥直接影响到股骨端的翻修效果。大转子延长截骨术具有较高的截骨处骨愈合率,极佳的术中暴露效果,以及外展肌张力调整等优点,已被国外学者广泛运用到全髋关节翻修及复杂的初次人工全髋关节置换中。本文对该技术的适应证、禁忌证、并发症以及其优势作一综述,以期待更深入的临床及实验研究。

How to remove the well fixed cement or cementless prosthesis and get a completely distal cement removal in the rTHR are critical to the outcome of revision. Because of higher rate of union, excellent intraoperative exposure, and adjust- ment of abductor tension,ETO has been widely applied to rTHR and complicated primary THR by foreign scholars. Further- more ,this technology has wide indications, very few contraindications, high cure rates, and low complications rate. ETO turns out to be a safe and effective revision technology. In the article, the indication, contraindication,complications and advantages of this technique were reviewed.