Functional and Radiological Outcomes of a Newly Introduced Modified Manual Cementation Technique Versus Second-Generation Technique in Primary Cemented Hip Arthroplasty

Abdoulrahman Elsayed Youssef, Mohamed Taha A. Mehanna, Mohamed Saleh Mustafa, A. Henawy
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Abstract

Hip arthroplasty is one of the most common reconstructive procedures done in adults.[1] The main purpose of this surgery is to eliminate pain, regain full extent of joint motion, maintaining hip stability, and improve the quality of life for patients. This work aims to compare the clinical and radiological outcomes of two techniques; the second-generation cementation technique and a newly introduced modification of the manual technique in primary cemented hip arthroplasty. This prospective, randomized clinical trial included 44 patients. Patients were allocated into two equal groups: the case Group A; who had primary hip arthroplasty operation with the modified manual cementation technique and the control Group B; who had arthroplasty using the second generation cementation technique. The average follow-up period was about 12 months after the operation. Operation time, intraoperative parameters, postoperative clinical and radiological outcomes, and complications were compared between the two groups. The operation duration was significantly longer in Group B (123.4 ± 9.0 vs. 107.5 ± 15.2, P = 0.001). No intraoperative complications were found among 77% while 13.6% showed allergic reaction to cementation 72% of them are in Group B, 6.8% needed blood transfusion, and 2.3% had pulmonary embolism on cementation. No significant difference between the two studied groups regarding postoperative Visual Analog Scale (VAS) score,[2] barrack grading,[3] complications and Harris hip score[4] at 3 months, 9 months, and 12 months was noted. In conclusion, this study concluded that Group A the newly introduced modified manual cementation technique might provide a cheaper and effective alternative to Group B the second-generation technique, with relatively less intraoperative complications and almost no difference in postoperative VAS, Harris hip score, and radiological outcomes over a period of 1-year follow-up.
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新推出的改良手动粘接技术与第二代技术在初次粘接髋关节置换术中的功能和放射学效果对比分析
髋关节置换术是成人最常见的整形手术之一[1],手术的主要目的是消除疼痛、恢复关节的完全活动度、保持髋关节的稳定性以及提高患者的生活质量。 这项研究旨在比较两种技术的临床和放射学效果:第二代骨水泥技术和新引入的手动技术在初次骨水泥髋关节置换术中的改良。 这项前瞻性随机临床试验包括 44 名患者。患者被平均分为两组:病例组A和对照组B,前者采用改良的人工骨水泥技术进行初次髋关节置换手术,后者采用第二代骨水泥技术进行关节置换手术。平均随访时间为术后 12 个月。对两组的手术时间、术中参数、术后临床和放射学结果以及并发症进行了比较。 B 组的手术时间明显更长(123.4 ± 9.0 vs. 107.5 ± 15.2,P = 0.001)。77%的患者未发现术中并发症,13.6%的患者在骨水泥固定时出现过敏反应,其中72%为B组患者,6.8%的患者需要输血,2.3%的患者在骨水泥固定时出现肺栓塞。两组患者在术后 3 个月、9 个月和 12 个月的视觉模拟量表(VAS)评分、[2] Barrack 分级、[3] 并发症和 Harris 髋关节评分[4] 方面均无明显差异。 总之,本研究认为,与第二代技术相比,A组新引进的改良人工骨水泥技术可能是一种更便宜、更有效的替代技术,术中并发症相对较少,术后VAS评分、Harris髋关节评分和1年随访期间的放射学结果几乎没有差异。
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来源期刊
Journal of Arthroscopy and Joint Surgery
Journal of Arthroscopy and Joint Surgery Medicine-Orthopedics and Sports Medicine
CiteScore
0.60
自引率
0.00%
发文量
1
期刊介绍: Journal of Arthroscopy and Joint Surgery (JAJS) is committed to bring forth scientific manuscripts in the form of original research articles, current concept reviews, meta-analyses, case reports and letters to the editor. The focus of the Journal is to present wide-ranging, multi-disciplinary perspectives on the problems of the joints that are amenable with Arthroscopy and Arthroplasty. Though Arthroscopy and Arthroplasty entail surgical procedures, the Journal shall not restrict itself to these purely surgical procedures and will also encompass pharmacological, rehabilitative and physical measures that can prevent or postpone the execution of a surgical procedure. The Journal will also publish scientific research related to tissues other than joints that would ultimately have an effect on the joint function.
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