在全髋关节置换术中使用双活动支座与固定支座相比,腹股沟疼痛更少。

IF 1.3 4区 医学 Q3 ORTHOPEDICS HIP International Pub Date : 2024-01-01 Epub Date: 2023-03-08 DOI:10.1177/11207000231158722
Jeremy A Dubin, Geoffrey H Westrich
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引用次数: 0

摘要

简介:植入物类型(双活动性(DM)或固定轴承(FB))与术后腹股沟疼痛之间的关系仍未得到探讨。我们研究了 DM 植入物腹股沟疼痛的发生率,并将其与 FB THA 患者队列进行了比较:从 2006 年到 2018 年,一位外科医生实施了 875 例 DM THA 和 856 例 FB THA 手术,随访时间分别为 2.8 年和 3.1 年。每位患者术后都会收到一份调查问卷,被问及是否有腹股沟疼痛(是/否)。次要测量指标包括植入物的特征,如头部大小、头部偏移、杯大小和杯头比。收集的其他 PROM 包括退伍军人兰德 12(VR-12)、加州大学洛杉矶分校(UCLA)活动评分、疼痛视觉模拟量表(Pain VAS)和活动范围(ROM):结果:腹股沟疼痛的发生率在DM THA组为2.3%,在FB THA组为6.3%(P 0.001)。此外,在两组患者中,低头偏移(⩽0 mm)导致腹股沟疼痛的几率比(1.61)显著。在最近的随访中,两组患者的翻修率没有明显差异(2.5% vs. 3.3%,p = 0.39):这项研究表明,与FB(6.3%)相比,使用DM轴承的患者腹股沟疼痛的发生率较低(2.3%),而低头偏移的患者腹股沟疼痛的风险更高(P = 0.39)。
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Less groin pain with dual-mobility bearings versus fixed bearings in total hip arthroplasty.

Introduction: The relationship between implant type, dual mobility (DM) or fixed bearing (FB), and postoperative groin pain remains unexplored. We examined the incidence of groin pain in DM implants and compare this to a cohort of FB THA patients.

Methods: From 2006 to 2018, a single surgeon performed 875 DM THA and 856 FB THA procedures with 2.8-year and 3.1-year follow-up, respectively. Each patient received a questionnaire postoperatively and was asked if they had any groin pain (yes/no). Secondary measurements were implant characteristics such as head size, head offset, cup size, and cup-to-head ratio. Additional PROMs that were collected included: Veterans RAND 12 (VR-12), University of California Los Angeles (UCLA) activity score, Pain visual analogue scale (Pain VAS), and range of motion (ROM).

Results: The incidence of groin pain was 2.3% in the DM THA cohort and 6.3% in the FB THA group (p< 0.001). Also, low head offset (⩽0 mm) had a significant odds ratio (1.61) for groin pain in both cohorts. There was no significant difference in terms of revision rate between the cohorts (2.5% vs. 3.3%, p = 0.39) at the latest follow up.

Conclusions: This study demonstrated a lower incidence of groin pain (2.3%) in patients with a DM bearing compared to a FB (6.3%) and a greater risk of groin pain with low head offset (<0 mm). As such, surgeons should try to recreate offset of the hip compared to the contralateral side to avoid groin pain.

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来源期刊
HIP International
HIP International 医学-整形外科
CiteScore
4.20
自引率
0.00%
发文量
70
审稿时长
2 months
期刊介绍: HIP International is the official journal of the European Hip Society. It is the only international, peer-reviewed, bi-monthly journal dedicated to diseases of the hip. HIP International considers contributions relating to hip surgery, traumatology of the hip, prosthetic surgery, biomechanics, and basic sciences relating to the hip. HIP International invites reviews from leading specialists with the aim of informing its readers of current evidence-based best practice. The journal also publishes supplements containing proceedings of symposia, special meetings or articles of special educational merit. HIP International is divided into six independent sections led by editors of the highest scientific merit. These sections are: • Biomaterials • Biomechanics • Conservative Hip Surgery • Paediatrics • Primary and Revision Hip Arthroplasty • Traumatology
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