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《Journal of Chengde Medical College》 2013-01
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PREVENTION AND TREATMENT OF FOUR MAIN COMPLICATIONS OF TOTAL HIP ARTHROPLASTY

CHE Ying-yu,LIU Zhao-hui(Department of Surgery,Shunyi Airport Hospital,Beijing Shunyi 101318,China)  
Objective:To investigate the reasons and prevention measures for 4 main complications of total hip arthroplasty: intraoperative periprosthetic femoral fracture,postoperative prosthetic dislocation,leg length discrepancy and prosthetic loosening.Methods:The clinical data of 204 total hip arthroplasty patients from 2002.5 to 2010.5 were retrospectively analyzed.Results:No recent deep infection in this study.The average score of postoperative Harris hip function was 82.3(70-90).The complications included 4 cases femoral fracture,3 cases early dislocation,6 cases leg length discrepancy and 4 cases forward prosthetic loosening.Conclusions:Intraoperative periprosthetic femoral fracture,postoperative prosthetic dislocation,leg length discrepancy and prosthetic loosening are the 4 main complications of total hip arthroplasty.Doctors should choose best operation scheme by fully preoperative evaluation and simulation,combined individual differences,also better health education after operation can avoid or reduce the complications.
【CateGory Index】: R687.3
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