[我们对非骨水泥等弹性全髋关节假体的经验]。

T Marega, G Feroldi, L Marega
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引用次数: 0

摘要

1981年5月至1987年5月间,共植入了250例等弹性髋关节假体。从1981年5月到1986年5月,前180人被要求参观。130例(72%)患者来院接受评估,最低评估时间为1年。我们忽略了28%的病人没有出现的原因(死亡或其他)。81%的患者术后效果良好或非常好。3例患者发生感染(2.3%);这些都没有被修改。4例股骨假体出现松动;其中两人接受了翻修手术,目前恢复良好。我们没有注意到髋臼部位有任何松动。推荐的步态支持期为2个月,用两根手杖不负重,2个月,用一根手杖部分负重。没有任何部件损坏。术中发生1例股骨骨折,经常规处理后愈合。这些早期结果非常令人鼓舞,但这种假体的有效性将需要更长的随访数据来证实。
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[Our experience with the uncemented isoelastic total hip prosthesis].

Between May 1981 and May 1987, 250 isoelastic hip prostheses were implanted. The first 180 (from May '81 till May '86) were called for a visit. 130 (72%) came and were assessed with a minimum review time of 1 year. We ignore the reasons for which 28% of the patients did not turn up (death or others). 81% of the patients had good or very good results after surgery. Three patients developed infections (2.3%); none of these was revised. Four developed loosening of the femoral component; two of these underwent revision surgery and are doing well now. We did not notice any loosening of the acetabular component. The recommended period of gait support was of 2 months of no weight bearing with two canes and of two months of partial weight bearing with one cane. No component had broken. We had 1 femoral fracture incurred during surgery which healed with routine management. These early results are very encouraging, but the effectiveness of this prosthesis will require longer follow-up data to be confirmed.

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