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《CHINESE JOURNAL OF REPARATIVE AND RECONSTRUCTIVE SURGERY》 1998-01
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ANALYSIS OF CAUSES OF REVISION AFTER HIP REPLACEMENT

Liu Shilin, Tang Liuyi, Yuan Jiabin et al. Department of Orthopedic Surgery, Sichuan Peoples Hospital, Chengdu, P.R.China 610072  
From 1974 to 1991, two hundred and sixtyfour cases of hip replacement were performed. These cases composed of 150 cases of artificial femoral head prosthesis replacement and 114 cases of total hip replacement. Fifteen cases were revised after the first replacement in 7.4 years average (5~16 years). The revision rate was 5.7%. The causes of revision were loose or subside of prosthesis, wear and tear of acetabulum, dislocation of artificial hip joint, etc, which caused pain and dysfunction. The revision cases were followed up for 4.7 years average with good result. To prevent revision, The medully canal shonld not be too wide and in osteoporosis cases, bone cement was suggested to apply. The chondrium of acetabulum should be removed completely.
【CateGory Index】: R684
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