...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The Journal of arthroplasty >Porous-coated cementless acetabular cups in revision surgery: a 6- to 11-year follow-up study.
【24h】

Porous-coated cementless acetabular cups in revision surgery: a 6- to 11-year follow-up study.

机译：翻修手术中的多孔涂层非骨水泥髋臼杯：为期6至11年的随访研究。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Between 1986 and 1991, 65 cementless hemispherical acetabular cups were implanted in 60 patients in revision surgery. Different designs were used, including PCA (29 cups), Duraloc (14 cups), Harris-Galante (12 cups), and Omnifit (10 cups). The mean age of patients was 54.7 years. The Paprosky types of the acetabular tone defects were type 1, 2 hips; type 2, 38 hips; type 3A, 15 hips; and type 3B, 10 hips. For unrevised hips, the mean follow-up was 8.3 years (range, 6-11 years). Bone allografts were used in 56 hips: Morcellized cancellous graft was used in 42 hips, structural graft for contained defects was used in 7 hips, and structural graft for uncontained defects was used in 7 hips. There were poor clinical results in 14 hips (22%). Re-revision was necessary in 7 hips (10.8%). There was definite radiographic loosening in 18 hips and possible loosening in 4 hips. Screw failure occurred in 6 hips, and a radiolucency in 1 or more DeLee-Charnley zones was apparent in 45 hips (69.2%). Moderate or severe graft resorption were found in 4 of the 42 morcellized grafts, in 6 of the 7 structural grafts for uncontained defects, and in all 7 of the 7 structural grafts for contained defects. The best results were obtained in hips with a bone defect of less than 30%. The use of a cementless acetabular cup supplemented with screws is contraindicated in hips with a bone defect greater than 50%. Hip reconstruction using structural bone-graft to stabilize the prosthesis gives the worst results.
机译：1986年至1991年，在60例翻修手术中植入了65个非骨水泥半球形髋臼杯。使用了不同的设计，包括PCA（29杯），Duraloc（14杯），Harris-Galante（12杯）和Omnifit（10杯）。患者的平均年龄为54.7岁。髋臼音缺损的Paprosky类型为1型，2型髋部; 2型髋部为3型。 2型，38髋; 3A型15髋;和3B型，10个臀部对于未矫正的髋关节，平均随访时间为8.3年（范围6-11年）。同种异体骨移植共56髋：粉碎的松质骨移植体共42髋，有缺陷的结构移植物共7髋，无缺陷的结构移植物共7髋。 14髋（22％）的临床结果较差。 7髋（10.8％）需要重新翻修。 18髋明显放射线松动，4髋可能松动。在6个髋部中发生螺丝衰竭，在1个或多个DeLee-Charnley区域中有45个髋部出现射线透亮现象（69.2％）。在42颗粉碎的移植物中，有4处吸收中等或严重的植骨吸收，在7颗结构移植物中有6颗存在未包含的缺损，在7颗结构移植物中的所有7颗中均发现有缺损。骨缺损小于30％的臀部获得了最佳结果。骨缺损大于50％的髋关节禁用禁忌加螺钉的非骨水泥髋臼杯。使用结构性植骨稳定髋关节的髋关节重建效果最差。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号