伯明翰髋关节置换术的临床、功能和放射学长期随访(7-12 年),包括金属离子评估:单个外科医生系列研究。

IF 0.5 4区 医学 Q4 ORTHOPEDICS Acta orthopaedica Belgica Pub Date : 2024-03-01 DOI:10.52628/90.1.11664
M Ouwendijk, H VAN DER Bracht, E Jansegers
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引用次数: 0

摘要

髋关节置换术(HRA)一直被认为是一种极具吸引力的疗法,适用于更年轻、要求更高的髋关节骨关节炎患者。然而,围绕金属(MoM)髋关节置换术的争议导致 HRA 的受欢迎程度显著下降。尽管如此,仍有大量证据支持在特定患者群体中使用特定植入物。这是对伯明翰髋关节置换术(BHR)单个外科医生系列的持续回顾性分析。Van der Bracht 等人于 2011 年进行了初步的中期分析,并发表了论文13。 该分析包括 7 至 12 年的长期随访,包括功能评分(HHS、HOOS 和 UCLA 活动评分)、金属离子评估和生存分析。失败的定义是因任何原因导致的翻修。247 名患者共接受了 267 例 BHR 人工关节置换手术。我们的平均随访时间为 8.3 年。十年的总存活率为 94.8%(男性为 97.2%,女性为 90.1%)。随访期间,HHS 的平均得分有明显的统计学增长(从 56.03 - IQR 47-65 到 96.07 - IQR 96-100)。金属离子的升高与并发症概率的增加有统计学意义。这项队列研究进一步证明,在年轻患者中,使用伯明翰髋关节置换假体进行髋关节置换术是传统全髋关节置换术的良好替代方案。随访期间,患者的功能评分明显提高。有进一步证据表明,女性患者的疗效较差。
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Clinical, functional and radiographic long-term follow-up (7-12 years) of Birmingham Hip Resurfacing, including metal ions evaluation: a single surgeon series.

Hip resurfacing arthroplasty (HRA) has been advocated as an attractive therapy for a younger, more demanding patient population with debilitating hip osteoarthritis. Controversies surrounding metal-on-metal (MoM) hip resurfacing have, however, led to a significant decline in the popularity of the HRA. Despite this, substantial evidence supports the use of specific implants in a selected group of patients. This is a continued retrospective analysis of a single surgeon series of the Birmingham Hip Resurfacing (BHR). Initial medium-term analysis was done in 2011 and published by Van der Bracht et al.13. This analysis includes a long-term follow-up of 7 to 12 years, including functional scoring (HHS, HOOS and UCLA activity score), metal ion evaluation and survival analysis. Failure was defined as revision for any cause. A total of 267 resurfacing procedures with the BHR were included in 247 patients. We had a mean follow-up of 8.3 years. Overall survival at ten years was 94.8%(97.2% for males and 90.1% for females). There was a statistically significant increase in mean HHS score at follow-up (56.03 - IQR 47-65 to 96.07 - IQR 96-100). Elevated metal ions were correlated with a statistically significant increase in the probability of complications. This cohort study further proved that hip resurfacing arthroplasty with the Birmingham Hip Resurfacing implant provides a good alternative to conventional total hip arthroplasty in young patients. There was a significant increase in functional scores at follow-up. There is further evidence of less favorable outcomes in female patients.

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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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