两例解剖适应性羟基磷灰石涂层无骨水泥全髋关节置换术的良好存活率。平均随访 11.3 年。

IF 0.5 4区 医学 Q4 ORTHOPEDICS Acta orthopaedica Belgica Pub Date : 2024-03-01 DOI:10.52628/90.1.11314
L J M Heijnens, M G M Schotanus, E H VAN Haaren
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引用次数: 0

摘要

市场上有许多不同类型的无骨水泥解剖适应性全髋关节置换术(THA),Anatomic Benoist Gerard(ABG)I 和 II 就是这种类型的无骨水泥全髋关节置换术。在这项回顾性单中心研究中,我们评估了超过 11 年的随访中因任何原因翻修和无菌性松动为终点的总存活率。2000 年至 2004 年间,一家初级保健医院为 230 名患者实施了 244 例无骨水泥 THAs。在平均 11.3 年(9.8 - 12.8 年)的随访中,对临床检查、X 光平片和患者报告结果指标(PROMs)进行了采集和分析。患者报告结果指标包括牛津髋关节评分(OHS)和西安大略和麦克马斯特大学指数(WOMAC)。在平均 11.3 年的随访中,有 32 名患者(13.1%)死于非相关原因。其余的 198 名患者(212 例 THAs)均已接受评估。没有患者失去随访机会。在平均 11.3 年的随访中,有 11 名患者(11 例 THAs)对股骨植入物或髋臼组件进行了翻修,总存活率为 95.5%。ABG I 和 II THAs 之间的存活率没有明显的统计学差异(P=0.564)。上次随访时,ABG I 和 ABG II 在影像学方面没有变化。在PROMs方面,ABG II明显优于ABG I。我们的结论是,这两种解剖适应性羟基磷灰石涂层无骨水泥 THAs 在超过 11 年的随访中均显示出极佳的存活率。
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Excellent survival of two anatomically adapted hydroxyapatite coated cementless Total Hip Arthroplasties. A mean follow-up of 11.3 years.

There are many different types of cementless anatomically adapted Total Hip Arthroplasties (THAs) on the market, the Anatomic Benoist Gerard (ABG) I and II are such types of cementless THAs. In this retrospective single-centre study we evaluated the overall survival with revision for any reason and aseptic loosening as endpoint at more than 11 years follow-up. Between 2000 and 2004, 244 cementless THAs were performed in 230 patients in a primary care hospital. At a mean of 11.3 years follow-up (range 9.8 - 12.8 years) clinical examination, plain radiography and Patient Reported Outcome Measures (PROMs) were obtained and analysed. The PROMs consisted of the Oxford Hip Score (OHS) and the Western Ontario and McMaster University Index (WOMAC). At a mean of 11.3 years follow-up 32 patients (13.1%) had died of unrelated causes. Of the remaining cohort all 198 patients (212 THAs) have been reached for evaluation. There were no patients considered as lost to follow-up. At a mean of 11.3 years 11 patients (11 THAs) have had a revision of either the femoral implant or acetabular component resulting in an overall survival of 95.5%. There was no statistically significant difference (p=0.564) in survival between the ABG I and II THAs. Radiographic there were no changes between the ABG I and II last follow up. The ABG II performed statistically significant better in PROMs. We concluded that both anatomically adapted hydroxyapatite coated cementless THAs show excellent survival at more than 11 years follow-up.

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来源期刊
Acta orthopaedica Belgica
Acta orthopaedica Belgica 医学-整形外科
CiteScore
0.70
自引率
0.00%
发文量
58
审稿时长
4-8 weeks
期刊介绍: Information not localized
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