多次髋翻修后全股骨假体置换:1例报告与文献综述△

Total femoral replacement for femoral inefficacy secondary to multiple revisions of total hip arthroplasty: a case report and literature review

摘要:

全股骨置换术 (total femoral replacement, TFR) 是挽救性手术，其适应证多是广泛侵蚀股骨的肿瘤性疾病、病理性骨折导致股骨大量骨量缺损的非肿瘤性疾病以及伴有严重骨缺损的髋膝关节翻修术。目前，随着髋膝关节置换术的快速发展， 外伤和感染导致的下肢翻修病例逐年增加，致使全股骨置换术更多地作为一种挽救性措施开始逐渐应用于有较大骨缺损的难治性假体的翻修病例，且术后都有较大的功能改善和低并发症发生率。本文报道 1 例多次髋关节翻修后行全股骨假体置换手术的病例，并对多篇已发表的行全股骨置换术的文献进行回顾总结。

Abstract:

Total femoral replacement (TFR) is a salvage procedure for extensive femoral impairment, such as bone tumor invaded wide- ly, non-neoplastic disease with massive femoral bone defects secondary to pathological fracture, and revision of hip and knee arthroplasty with severe bone loss. With the rapid development of hip and knee arthroplasty, the number of revision arthroplasty due to trauma and infec- tion is increasing year by year, whereas the TFR is more and more used as a salvage measure in the revision of refractory prostheses loosen- ing with large bone defects, which get functional improvement in the most cases with low complications after surgery. In this paper, we report a case of TFR after multiple revisions of total hip arthroplasty, and review the published literature on TFR.