老年股骨颈骨折患者髋臼软骨异常

IF 1.8 Q2 ORTHOPEDICS SICOT-J Pub Date : 2022-06-14 DOI:10.1051/sicotj/2022022
H. Ochi, Hideo Kobayashi, T. Baba, Riko Nakajima, Yasuha Kurita, Suguru Kato, K. Sasaki, M. Nozawa, Sung-Gong Kim, Y. Sakamoto, Y. Homma, K. Kaneko, M. Ishijima
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引用次数: 0

摘要

引言:半关节置换术(HA)和全髋关节置换术是广泛接受的股骨颈移位骨折后髋关节置换术。然而,在手术前关节线完整的情况下,HA和THA之间的选择仍然存在争议。本研究调查了老年股骨颈骨折患者髋臼软骨和唇异常的发生率。方法:在2020年4月至2021年2月期间,37名患者因股骨颈骨折接受了髋关节置换术。在排除4名患者后,纳入了33名左髋和右髋骨折患者(6名男性和27名女性;平均年龄=82.2[范围=67-98]岁)。在关节成形术中移除股骨头后,对髋臼进行宏观检查,以确定是否存在软骨和唇损伤。根据软骨损伤分类系统,髋臼软骨异常分为整体退变或部分损伤。结果:所有髋关节出现髋臼软骨异常,包括整体退变或部分损伤(100%)。在33个髋关节中,分别有32个(96.9%)、16个(48.4%)和9个(27.2%)髋关节出现整体变性、部分损伤和唇异常。讨论:在这项研究中,大多数老年股骨颈骨折患者表现出髋臼软骨和上唇异常,这些异常在手术时就已经存在。因此,外科医生应该仔细检查这些异常,因为它们可能会影响术后的结果,如疼痛和功能。
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Acetabular cartilage abnormalities in elderly patients with femoral neck fractures
Introduction: Both hemiarthroplasty (HA) and total hip arthroplasty (THA) are widely accepted surgical procedures for hip replacement following displaced femoral neck fractures. However, in cases involving an intact joint line before surgery, the choice between HA and THA remains debatable. This study investigated the prevalence of acetabular cartilage and labral abnormalities in elderly patients with femoral neck fractures. Methods: Thirty-seven patients underwent hip arthroplasty for femoral neck fractures between April 2020 and February 2021. After excluding 4 patients, 33 patients (6 men and 27 women; mean age = 82.2 [range = 67–98] years) with fractures in 12 left and 21 right hips were included. After femoral head removal during arthroplasty, the acetabulum was macroscopically examined for the presence of cartilage and labral lesions. Acetabular cartilage abnormalities were classified as either overall degeneration or partial damage according to the cartilage damage classification system. Results: Acetabular cartilage abnormalities, including overall degeneration or partial damage, were found in all hips (100%). Out of the 33 hips, overall degeneration, partial damage, and labral abnormalities were detected in 32 (96.9%), 16 (48.4%), and 9 (27.2%) hips, respectively. Discussion: In this study, most elderly patients with femoral neck fractures exhibited acetabular cartilage and labral abnormalities, which were already present at the time of surgery. Therefore, surgeons should carefully examine these abnormalities as they may impact postoperative outcomes such as pain and function.
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来源期刊
SICOT-J
SICOT-J ORTHOPEDICS-
CiteScore
3.20
自引率
12.50%
发文量
44
审稿时长
14 weeks
期刊最新文献
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