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The Exeter Trauma Stem: A radiographic follow-up at minimum of five years post implantation

机译：埃克塞特创伤茎：植入后至少五年的射线照相随访

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Abstract Introduction The Exeter Trauma Stem (ETS) has been recommended by National Institute of Clinical Excellence (NICE) guidelines in the United Kingdom as a proven, cemented stem. A single laboratory study in the literature has raised possible concerns about the polished finish of the ETS and subsequent potential for accelerated loosening although there is little clinical evidence to support or refute this. Methods The aim of this study was to assess clinical outcomes of the ETS at a minimum of five years post implantation. Primary outcomes were radiological loosening at a minimum of five years along with survivorship of the implant. Patient demographics were prospectively collected and followed up. Results 218 ETS’s (in 214 patients) were implanted from June 2002 until August 2008 in a single centre by a wide variety of surgeons of differing grades. Of these, 16 underwent revision surgery for fracture (2), dislocation (3), infection (1) and acetabular erosion (10) but there were no revisions for aseptic loosening of the implant. There were 64.0% (137/214) patients that had died by the time of this study. Of the remaining patients, 90 had radiographs of their hips at a minimum of 5 years with 36 of these at a minimum of 7 years post implantation. None of these had evidence of loosening. Conclusion The ETS is a robust and suitable stem for implantation in patients with hip fractures. There are no clinical suspicions or increased rates of loosening with the ETS in our study. The concerns about surface finish are not borne out in our clinical study which shows no evidence of loosening at a minimum of five years post operation. It confers many advantages including ease of revision and it should continue to be used as per NICE guidelines.
机译：摘要介绍了英国国家临床卓越研究所（尼斯）指南的exeter创伤茎（ETE）是验证的，巩固的茎。文献中的单一实验室研究提出了对ETS的抛光表面的可能担忧，以及随后的加速松动的潜力，尽管几乎没有临床证据来支持或反驳这一点。方法本研究的目的是在植入后至少五年评估ETS的临床结果。主要结果是放射性松动，至少五年，植入植入物。患者人口统计学潜行并随访。结果218 ETS（214名患者）植入于2002年6月至2008年8月，在一个中心的不同等级的各种外科医生。其中，16个接受骨折的修正手术（2），脱位（3），感染（1）和髋臼侵蚀（10），但没有对植入物无菌松动的修订。在这项研究中死亡的患者有64.0％（137/214）患者。在其余患者中，90例植入术后至少7年，其中36岁的臀部XIPS XIPS XIPS XIPS XIPS XIPS XIPS XIPS。这些都没有有宽松的证据。结论ETS是髋部骨折患者的植入植入型柔软性和合适的茎。在我们的研究中，没有临床怀疑或随着ETS的松动率增加。在我们的临床研究中，对表面光洁度的担忧不会在我们的临床研究中被证实，没有明确释放的证据，至少在五年后术后。它赋予许多优势，包括易修复，并应继续按照必不可少的准则使用。

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  • 来源
    《Injury》 |2017年第12期|共5页
  • 作者

    A.M. Kassam; L. Tillotson; S.L. Whitehouse; J. Charity;

  • 作者单位

    Exeter Hip Unit Princess Elizabeth Orthopaedic Centre Royal Devon and Exeter NHS Foundation Trust;

    Exeter Hip Unit Princess Elizabeth Orthopaedic Centre Royal Devon and Exeter NHS Foundation Trust;

    Orthopaedic Research Unit Institute of Health and Biomedical Innovation Queensland University of;

    Exeter Hip Unit Princess Elizabeth Orthopaedic Centre Royal Devon and Exeter NHS Foundation Trust;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 创伤外科学;
  • 关键词

    Hip fracture; Hemiarthroplasty; NICE; Exeter; Radiographic survival; Loosening;

    机译：髋部骨折;半轴成形术;漂亮;埃克塞特;射线照相生存;松动;

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