1、非感染性髋关节翻修术病例分享非感染性髋关节翻修术病例分享CaseCase reportreport forfor non-infectednon-infected THATHA revisionrevision Gender:Male Age:70 yr History:R THA for 11 yrs due to femorl head necrosisR hip pain and walk with crutches for 10 monthsNo trauma and other special reasons DM,HypertensionCase report R-ROM:Flex
2、ion-Extension：60-15 Internal rotation-External：5-10 Adduction-Abduction：10-20 R Thomas：（+）15 No red and swollen of right hipLab ESR,CRP,WBC are normal No fluid obtained from pucture ECT showed nuclear concentration in cup side No contraindication for operationPre-revision X-ray诊断 THA术后髋臼假体松动 股骨柄假体固定牢固 Paprosky 髋臼缺损分型 I型翻修方案 臼：生物型臼杯？水泥型臼杯？Jumbo Cup 股骨柄：更换？保留？股骨头：髋臼假体无骨长入 臼杯尺寸：59mm 内衬：32mm 股骨头：黑晶，长头经验及教训 髋臼假体尽可能有很好的骨长入涂层设计 远期松动宜在明显骨缺损发生前翻修 无菌性松动翻修时，保留固定牢固的部件 术后定期随访非常重要
